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The Sun Wise School Program (Change)
The Sun Wise School Program
OMB: 2060-0439
IC ID: 24649
OMB.report
EPA/OAR
OMB 2060-0439
ICR 201103-2060-010
IC 24649
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0439 can be found here:
2014-06-13 - Extension without change of a currently approved collection
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
8,960
0
0
-1,140
0
10,100
Annual IC Time Burden (Hours)
1,615
0
0
-195
0
1,810
Annual IC Cost Burden (Dollars)
0
0
0
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.