Information Collection

Interview with Teachers

IC 198626 under ICR 201107-0920-005 · OMB 0920-0897.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview with Teachers	Form
Teachers Interview Guide E-1 Teachers Discussion Guide.doc	Form
E-2 Teachers Information Sheet.doc Att E2 - Info Sheet for Teachers	IC Document
E-3 Teachers Consent Form.doc Att E3 - Consent for Teachers	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	Teachers Interview Guide	E-1 Teachers Discussion 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: 16

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	16	16
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att E2 - Info Sheet for Teachers	E-2 Teachers Information Sheet.doc	07/20/2011
Att E3 - Consent for Teachers	E-3 Teachers Consent Form.doc	07/20/2011

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