Student Assent and Baseline Forms

Impact Evaluation of Upward Bound's Increased Focus on Higher-Risk Students - Baseline Data Collection Protocols

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Student Assent and Baseline Forms	Agency IC Tracking Number:	3345

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.