Information Collection

Staff School Climate Survey

IC 184514 under ICR 201109-0930-002 · OMB 0930-0297.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Staff School Clima Staff School Climate Survey	Form and Instruction
Staff School Clima Staff School Climate Survey 7. Staff School Climate Survey.doc	Form and Instruction
9. GPRA Student Survey.doc GPRA Student Survey	IC Document
1. SSHS Introduction letter.doc Introduction Letter	IC Document
8. Sample Emails for Instruments.pdf Sample Emails for Instruments	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	Staff School Climate Survey	Staff School Climate Survey	7. Staff School Climate Survey.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,200

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	Previously Approved
Annual Number of Responses for this IC	25,200	-81,475	106,675
Annual IC Time Burden (Hours)	2,948	-13,483	16,431
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GPRA Student Survey	9. GPRA Student Survey.doc	08/11/2011
Introduction Letter	1. SSHS Introduction letter.doc	08/11/2011
Sample Emails for Instruments	8. Sample Emails for Instruments.pdf	08/11/2011

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