Information Collection

Principal and Prevention Coordinator End-of-Year Implementation Survey

IC 183242 under ICR 200801-0920-002 · OMB 0920-0783.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0783 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
End-of-School Year Principal Survey .doc	Instruction
End-ofSchool Year Prevention Coordinator.doc	Instruction

IC Title:

Principal and Prevention Coordinator End-of-Year Implementation Survey

Agency IC Tracking Number:

Is this a Common Form? Yes

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
Instruction			End-of-School Year Principal Survey .doc		Yes	No	Fillable Printable
Instruction			End-ofSchool Year Prevention Coordinator.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 98

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	98	98
Annual IC Time Burden (Hours)	25	25
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.