Information Collection

Child Assent Form and Parent Waiver of Consent Form

IC 179240 under ICR 200703-1850-004 · OMB 1850-0830.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_Exhibit H Parent Waiver.doc	Other-waiver form
Att_Exhibit I Student Assent.doc	Other-Student Assent Form

IC Title:

Agency IC Tracking Number:

3272

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-waiver form			Att_Exhibit H Parent Waiver.doc		No		Paper Only
Other-Student Assent Form			Att_Exhibit I Student Assent.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,480

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,480	2,480
Annual IC Time Burden (Hours)	413	413
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.