Information Collection

Sampling and Gainng Cooperation

IC 178415 under ICR 201005-1850-001 · OMB 1850-0826.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sampling and Gainng Cooperation	Form and Instruction
Parent Consent Form Att_LIC Parent Consent Form for Parent Report.doc	Form and Instruction
Parent Consent Form for student participation Att_LIC Parent Consent for Student Participation.doc	Form and Instruction
Teacher Consent Form Att_LIC Teacher Consent Form.doc	Form and Instruction
Att_LIC OMB Sup Part A 10.11.06.doc Sampling Task for District administrator, Gaining Cooperation School Principals and Gaining Cooperation for District Data Specia	IC Document

IC Title:

Agency IC Tracking Number:

4220

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Parent Consent Form	Att_LIC Parent Consent Form for Parent Report.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Parent Consent Form for student participation	Att_LIC Parent Consent for Student Participation.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Consent Form	Att_LIC Teacher Consent Form.doc	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,423

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 28 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16,423	16,423
Annual IC Time Burden (Hours)	4,959	4,959
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sampling Task for District administrator, Gaining Cooperation School Principals and Gaining Cooperation for District Data Specialist	Att_LIC OMB Sup Part A 10.11.06.doc	01/23/2007

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