Information Collection

Safe Schools/Healthy Students (1890-0001)

IC 22613 under ICR 200711-1865-001 · OMB 1865-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1865-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Safe Schools/Healthy Students (1890-0001)	Form
SSHS Instructions FY08FINAL_TRACKED CHANGES.doc	Instruction
SAFE SCHOOLS/HEALTHY STUDENTS SSHSApplicationFY08FINAL_TRACKED CHANGES.doc	Form
Att_ED Forms for SSHS edics standard forms.doc Standard Form	IC Document
Att_Grants.gov Application Instru EDICS.doc Application Instructions	IC Document

IC Title:

Safe Schools/Healthy Students (1890-0001)

Agency IC Tracking Number:

3281

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	N/A	SAFE SCHOOLS/HEALTHY STUDENTS	SSHSApplicationFY08FINAL_TRACKED CHANGES.doc		Yes	Yes	Fillable Printable
Instruction			SSHS Instructions FY08FINAL_TRACKED CHANGES.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	13,000	13,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Standard Form	Att_ED Forms for SSHS edics standard forms.doc	02/16/2007
Application Instructions	Att_Grants.gov Application Instru EDICS.doc	02/16/2007

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