Information Collection

Student Program Fidelity 7th, Grade, Session 1-6

IC 199977 under ICR 201110-0920-012 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 24 Student Program Fidelity 7th, Grade, Session 1-6	Form
19 Student Program Fidelity 7th, Grade, Session 1 Attachment Z2 - Student+Program+Fidelity+7th+Grade+Session+1.docx	Form
20 Student Program Fidelity 7th, Grade, Session 2 Attachment AA - Student+Program+Fidelity+7th+Grade+Session+2.docx	Form
21 Student Program Fidelity 7th, Grade, Session 3 Attachment BB - Student+Program+Fidelity+7th+Grade+Session+3.docx	Form
22 Student Program Fidelity 7th, Grade, Session 4 Attachment CC - Student+Program+Fidelity+7th+Grade+Session+4.docx	Form
23 Student Program Fidelity 7th, Grade, Session 5 Attachment DD - Student+Program+Fidelity+7th+Grade+Session+5 (2).docx	Form
24 Student Program Fidelity 7th, Grade, Session 6 Attachment EE - Student+Program+Fidelity+7th+Grade+Session+6.docx	Form

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	24	Student Program Fidelity 7th, Grade, Session 6	Attachment EE - Student+Program+Fidelity+7th+Grade+Session+6.docx	Yes	Yes	Paper Only
Form	19	Student Program Fidelity 7th, Grade, Session 1	Attachment Z2 - Student+Program+Fidelity+7th+Grade+Session+1.docx	Yes	Yes	Paper Only
Form	20	Student Program Fidelity 7th, Grade, Session 2	Attachment AA - Student+Program+Fidelity+7th+Grade+Session+2.docx	Yes	Yes	Paper Only
Form	21	Student Program Fidelity 7th, Grade, Session 3	Attachment BB - Student+Program+Fidelity+7th+Grade+Session+3.docx	Yes	Yes	Paper Only
Form	22	Student Program Fidelity 7th, Grade, Session 4	Attachment CC - Student+Program+Fidelity+7th+Grade+Session+4.docx	Yes	Yes	Paper Only
Form	23	Student Program Fidelity 7th, Grade, Session 5	Attachment DD - Student+Program+Fidelity+7th+Grade+Session+5 (2).docx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,728

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	1,728	1,728
Annual IC Time Burden (Hours)	432	432
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.