Information Collection

Learner Background Interview Protocol

IC 185762 under ICR 200807-1830-001 · OMB 1830-0570.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Learner Background Interview Protocol	Form and Instruction
SARIP--App A-- Introd to SARIP Study--OMB Part B-Sept 23 2008.doc	Instruction
SARIP--App B-Amended -Frequently Asked Questions from Learners--OMB Part_ B.doc	Other-Frequently Asked Questions fro
--App J--Learner Consent for Part in Research Form--OMB_ Part A 9_-23-08.doc	Other-Consent Form
Learner Background Interview Protocol Form A SARIP--App B--Learner Back Int -Form A--OMB Part A Sept 23 2008.doc	Form and Instruction
Learner Background Interview Protocol Form B SARIP--App C--Learner Back Int -Form B-OMB Part A Sept 23 2008.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

3681

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	Available Electronically?	Electronic Capability
Form and Instruction	N/A	Learner Background Interview Protocol Form B	SARIP--App C--Learner Back Int -Form B-OMB Part A Sept 23 2008.doc	No	Paper Only
Instruction			SARIP--App A-- Introd to SARIP Study--OMB Part B-Sept 23 2008.doc	No	Paper Only
Other-Consent Form			--App J--Learner Consent for Part in Research Form--OMB_ Part A 9_-23-08.doc	No	Paper Only
Other-Frequently Asked Questions from Learners			SARIP--App B-Amended -Frequently Asked Questions from Learners--OMB Part_ B.doc	No	Paper Only
Form and Instruction	N/A	Learner Background Interview Protocol Form A	SARIP--App B--Learner Back Int -Form A--OMB Part A Sept 23 2008.doc	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,180

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	4,180	4,180
Annual IC Time Burden (Hours)	1,109	1,109
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.