Information Collection

Teachers' Data Collection Checklist

IC 185554 under ICR 200807-0920-001 · OMB 0920-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form J TEACHERS' DATA COLLECTION CHECKLIST	Form and Instruction
J TEACHERS' DATA COLLECTION CHECKLIST Appendix J Data Collection Checklist for the NYTS.doc	Form and Instruction
Appendix K. Data Collection Checklist Supplemental docs.doc TEACHERS' DATA COLLECTION CHECKLIST Supplemental Documents	IC Document

IC Title:

TEACHERS' DATA COLLECTION CHECKLIST

Agency IC Tracking Number:

Is this a Common Form? No

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
Form and Instruction	J	TEACHERS' DATA COLLECTION CHECKLIST	Appendix J Data Collection Checklist for the NYTS.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 635

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	635	635
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TEACHERS' DATA COLLECTION CHECKLIST Supplemental Documents	Appendix K. Data Collection Checklist Supplemental docs.doc	06/06/2008

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