Information Collection

Child Assent From

IC 179726 under ICR 200704-1850-004 · OMB 1850-0834.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0834 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CM2 H_ChildAssent080807.doc	Other-assent form

IC Title:

Child Assent From

Agency IC Tracking Number:

3217

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-assent form			CM2 H_ChildAssent080807.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: 3,500

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	3,500	3,500
Annual IC Time Burden (Hours)	583	583
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.