Information Collection

Student Data Collection

IC 178417 under ICR 201005-1850-001 · OMB 1850-0826.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Student Data Collection	Form and Instruction
Student Report Survey Att_LIC Student Survey.doc	Form and Instruction
Student LIC Assent Form Att_LIC Student Assent Form.doc	Form and Instruction

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Student Report Survey	Att_LIC Student Survey.doc		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Student LIC Assent Form	Att_LIC Student Assent 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: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	5,833	5,833
Annual IC Cost Burden (Dollars)	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.