Information Collection

Health Behavior and School Experiences Survey

IC 46537 under ICR 200704-1850-008 · OMB 1850-0818.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Health Behavior and School Experiences Survey	Form and Instruction
HEalth Behavior and School Experiences Survey Att_Appendix B Student Survey.doc	Form and Instruction
Parental Consent Form Att_Appendix A Active Consent Form.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

3244

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	N/A	HEalth Behavior and School Experiences Survey	Att_Appendix B Student Survey.doc		No		Fillable Fileable
Form and Instruction	N/A	Parental Consent Form	Att_Appendix A Active Consent Form.doc		No		Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,400

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	Previously Approved
Annual Number of Responses for this IC	11,400	11,400
Annual IC Time Burden (Hours)	11,400	11,400
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.