Information Collection

Sample (Appendix C) Student Questionnaire and School Administrator Questionnaire

IC 193706 under ICR 201011-1850-007 · OMB 1850-0755.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0755 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_Appendix C PISA 2012 Recruitment and Field Test.pdf	Other-questionnaires

IC Title:

Sample (Appendix C) Student Questionnaire and School Administrator Questionnaire

Agency IC Tracking Number:

4303

Is this a Common Form? No

IC Status: Unchanged

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
Other-questionnaires			Att_Appendix C PISA 2012 Recruitment and Field Test.pdf		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: 1,291

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,291	1,291
Annual IC Time Burden (Hours)	646	646
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.