Ss/hs

The Safe School/Healthy Student (SS/HS) Initiative National Evalutation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0297 can be found here:

Documents and Forms

Document Name Document Type
Form Instruments SS/HS Form and Instruction
Instruments Instruments Instruments-Attachments2-8.zip Form and Instruction
Attachments1and9-13.zip Attachments1and9-13 IC Document

Information Collection (IC) Details

IC Title:	SS/HS	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
Form and Instruction	Instruments	Instruments	Instruments-Attachments2-8.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 106,675	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	106,675	106,675
Annual IC Time Burden (Hours)	16,431	16,431
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments1and9-13	Attachments1and9-13.zip	03/28/2008

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