Information Collection

Interview with School Administrators

IC 198625 under ICR 201107-0920-005 · OMB 0920-0897.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview with School Administrators	Form
School Administrators Interview Guide D-1 School Admin Interview Guide.doc	Form
D-2 School Admin Information Sheet.doc Att D2 - Info Sheet for School Admin	IC Document
D-3 School Admin Consent Form.doc Att D3 - Consent for School Admin	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	none	School Administrators Interview Guide	D-1 School Admin Interview Guide.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att D2 - Info Sheet for School Admin	D-2 School Admin Information Sheet.doc	07/20/2011
Att D3 - Consent for School Admin	D-3 School Admin Consent Form.doc	07/20/2011

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