Information Collection

Student - Campus

IC 178435 under ICR 201006-0930-002 · OMB 0930-0286.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0286 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Campus - Student I Campus - Student Instruments Student - Campus	Form and Instruction
Campus - Student I Campus - Student Instruments A6 Campus - Student Instruments.pdf	Form and Instruction
A7 Campus - Student Suporting Documents.pdf Campus - Student Suporting Documents	IC Document

IC Title:

Student - Campus

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	Campus - Student Instruments				Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,638

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,276	3,276	12,000
Annual IC Time Burden (Hours)	3,221	1,221	2,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Campus - Student Suporting Documents		06/02/2010

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

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