Information Collection

Student Study Participation Agreement Form

IC 181642 under ICR 200706-1850-006 · OMB 1850-0845.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_REL midwest CLC study Appendix G - STUDENT CONSENT FORM DRAFT 041707.doc	Other-consent form

IC Title:

Agency IC Tracking Number:

3326

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-consent form			Att_REL midwest CLC study Appendix G - STUDENT CONSENT FORM DRAFT 041707.doc		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	20	20
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.