Information Collection

Student Physical Measurements

IC 189799 under ICR 200907-0920-001 · OMB 0920-0832.

Documents and Forms

Document Name Document Type
Form 3 Student Physical Measurements Form
3 National Youth Physical Activityand Nutrition Survey Hei Appendix D - Height and Weight Record Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Physical Measurements	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	3	National Youth Physical Activityand Nutrition Survey Height and Weight Record Form	Appendix D - Height and Weight Record Form.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.