Information Collection

The Sun Wise School Program (Change)

IC 24649 under ICR 201103-2060-010 · OMB 2060-0439.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0439 can be found here:

Documents and Forms

Document Name Document Type
The Sun Wise School Program (Change) Form and Instruction
5900-87 Registration: School 1904.04 Attachment_1a www.epa.gov/sunwise/becoming Form and Instruction
Student questionnaire 1904.04 attachment2 Form and Instruction
5900-87 Registration: Organization 1904.04 Attachment_1b www.epa.gov/sunwise/becoming Form and Instruction
Teacher and Nurse survey 1904.04 attachment3 Form and Instruction
Staff survey 1904.04 attachment4 Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Sun Wise School Program (Change)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Student questionnaire	1904.04 attachment2		No	No	Paper Only
Form and Instruction	5900-87	Registration: Organization	1904.04 Attachment_1b	www.epa.gov/sunwise/becoming	Yes	Yes	Fillable Fileable Signable
Form and Instruction	none	Teacher and Nurse survey	1904.04 attachment3		No	No	Paper Only
Form and Instruction	none	Staff survey	1904.04 attachment4		No	No	Paper Only
Form and Instruction	5900-87	Registration: School	1904.04 Attachment_1a	www.epa.gov/sunwise/becoming	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,960	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 55 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,960	-1,140	10,100
Annual IC Time Burden (Hours)	1,615	-195	1,810
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.