Principle Survey of Feasibility and Acceptability of Web-based Student Assessments and Surveys

Study to Examine Web-based Administration of the Youth Risk Behavior Survey

Documents and Forms

Document Name Document Type
Appendix D - Data Collection Instrument for Principals.doc www.websitehere.com Other-Principle Survey of the Feasib
Appendix F - Data Collection Instrument for Principals Supplemental Documents.doc Appendix F - Data Collection Instrument for Principals Supplemental Documents IC Document

Information Collection (IC) Details

IC Title:	Principle Survey of Feasibility and Acceptability of Web-based Student Assessments and Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Principle Survey of the Feasibility and Acceptability of Web-based Student Assessments and Surveys			Appendix D - Data Collection Instrument for Principals.doc	www.websitehere.com	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F - Data Collection Instrument for Principals Supplemental Documents	Appendix F - Data Collection Instrument for Principals Supplemental Documents.doc	10/02/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.