Information Collection

ATTACHMENT C6: Parent Critical Events Form (Middle School)

IC 179829 under ICR 201002-0920-008 · OMB 0920-0747.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 ATTACHMENT C6: Parent Critical Events Form (Middle School)	Form and Instruction
5 ATTACHMENT C6: Parent Critical Events Form (Middle Schoo Attachment C previously approved instruments.zip	Form and Instruction
Critical School Events (elementary, middle) Attachment B6 Parent Critical Events (elementary and middle school) scan.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	5	ATTACHMENT C6: Parent Critical Events Form (Middle School)	Attachment C previously approved instruments.zip		No	No	Paper Only
Form and Instruction	None	Critical School Events (elementary, middle)	Attachment B6 Parent Critical Events (elementary and middle school) scan.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 37

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	Previously Approved
Annual Number of Responses for this IC	74	-1,572	1,646
Annual IC Time Burden (Hours)	5	-160	165
Annual IC Cost Burden (Dollars)	0	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.