Information Collection

Student Assent and Baseline Forms

IC 46415 under ICR 200707-1850-003 · OMB 1850-0822.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment_2_Student_Informed_Assent.Final1.doc	Other-Student Informed Assent Form
Attachment_3_UB_BIF_for_Students.Final1.doc	Other-Baseline Information Form

IC Title:

Agency IC Tracking Number:

3345

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
Other-Student Informed Assent Form			Attachment_2_Student_Informed_Assent.Final1.doc		No		Paper Only
Other-Baseline Information Form			Attachment_3_UB_BIF_for_Students.Final1.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

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	7,200	7,200
Annual IC Time Burden (Hours)	2,100	2,100
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.