Information Collection

School Administrators

IC 187424 under ICR 200812-0925-001 · OMB 0925-0557.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 School Administrators	Form and Instruction
1 survey Attach 2.pdf	Form and Instruction
09-CH-N023 Approval Memo.pdf 09-CH-N023 Approval Memo	IC Document
09-CH-N023 IR.pdf 09-CH-N023 IR	IC Document

IC Title:

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	1	survey	Attach 2.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 386

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	386	386
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
09-CH-N023 Approval Memo	09-CH-N023 Approval Memo.pdf	11/24/2008
09-CH-N023 IR	09-CH-N023 IR.pdf	11/24/2008

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