High School Students

Simulations for Drug Related Science Education (NIDA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0644 can be found here:

Documents and Forms

Document Name Document Type
Form 1 High School Students Form
1 survey Appendix1.doc Form
2 survey appendix2.doc Form
Appendix 3.doc Appendix 3 IC Document

Information Collection (IC) Details

IC Title:	High School Students	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	1	survey	Appendix1.doc		Yes	Yes	Paper Only
Form	2	survey	appendix2.doc		Yes	Yes	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 360	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,440	1,440
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix 3	Appendix 3.doc	03/17/2009

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