Information Collection

Parent Program Fidelity 6th Grade Sessions 1-5

IC 199973 under ICR 201110-0920-012 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9 Parent Program Fidelity 6th Grade Sessions 1-5	Form and Instruction
8 Parent Program Fidelity 6th Grade Session 1 Attachment K - Parent+Pgrm+Fidelity+6thGr+Session1.docx	Form and Instruction
10 Parent Program Fidelity 6th Grade Session 3 Attachment M - Parent+Pgrm+Fidelity+6thGr+Session3.docx	Form and Instruction
9 Parent Program Fidelity 6th Grade Session 2 Attachment L - Parent+Pgrm+Fidelity+6thGr+Session2.docx	Form and Instruction
11 Parent Program Fidelity 6th Grade Session 4 Attachment N - Parent+Pgrm+Fidelity+6thGr+Session4.docx	Form and Instruction
12 Parent Program Fidelity 6th Grade Session 5 Attachment O - Parent+Pgrm+Fidelity+6thGr+Session5.docx	Form and Instruction

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9	Parent Program Fidelity 6th Grade Session 2	Attachment L - Parent+Pgrm+Fidelity+6thGr+Session2.docx	Yes	Yes	Paper Only
Form and Instruction	11	Parent Program Fidelity 6th Grade Session 4	Attachment N - Parent+Pgrm+Fidelity+6thGr+Session4.docx	Yes	Yes	Paper Only
Form and Instruction	12	Parent Program Fidelity 6th Grade Session 5	Attachment O - Parent+Pgrm+Fidelity+6thGr+Session5.docx	Yes	Yes	Paper Only
Form and Instruction	8	Parent Program Fidelity 6th Grade Session 1	Attachment K - Parent+Pgrm+Fidelity+6thGr+Session1.docx	Yes	Yes	Paper Only
Form and Instruction	10	Parent Program Fidelity 6th Grade Session 3	Attachment M - Parent+Pgrm+Fidelity+6thGr+Session3.docx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 280

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	840	840
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.