Information Collection

Att F - Indicators for School Health Programs: Asthma Management (LEA)

IC 184578 under ICR 201104-0920-008 · OMB 0920-0672.

Documents and Forms

Document Name Document Type
Attachment F-1 (Asthma FY2010).doc Other-WORD
Attachment F-2 (Asthma FY2011).docx Other-WORD

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att F - Indicators for School Health Programs: Asthma Management (LEA)	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
Other-WORD			Attachment F-1 (Asthma FY2010).doc		Yes	No	Fillable Printable
Other-WORD			Attachment F-2 (Asthma FY2011).docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	3	7
Annual IC Time Burden (Hours)	70	21	49
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.