Information Collection

Student Program Fidelity 8th, Grade, Session 1-10

IC 199978 under ICR 201110-0920-012 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 25 Student Program Fidelity 8th, Grade, Session 1-10	Form
25 Student Program Fidelity 8th, Grade, Session 1 Attachment FF - Student+Program+Fidelity+8th+Grade+Session+1.docx	Form
26 Student Program Fidelity 8th Grade, Session 2 Attachment GG - Student+Program+Fidelity+8th+Grade+Session+2.docx	Form
27 Student Program Fidelity 8th Grade, Session 3 Attachment HH - Student+Program+Fidelity+8th+Grade+Session+3.docx	Form
28 Student Program Fidelity 8th Grade, Session 4 Attachment II - Student+Program+Fidelity+8th+Grade+Session+4.docx	Form
29 Student Program Fidelity 8th Grade, Session 5 Attachment JJ - Student+Program+Fidelity+8th+Grade+Session+5.docx	Form
30 Student Program Fidelity 8th Grade, Session 6 Attachment KK - Student+Program+Fidelity+8th+Grade+Session+6.docx	Form
31 Student Program Fidelity 8th Grade, Session 7 Attachment LL - Student+Program+Fidelity+8th+Grade+Session+7.docx	Form
32 Student Program Fidelity 8th Grade, Session 8 Attachment MM - Student+Program+Fidelity+8th+Grade+Session+8.docx	Form
33 Student Program Fidelity 8th Grade, Session 9 Attachment NN - Student+Program+Fidelity+8th+Grade+Session+9.docx	Form
34 Student Program Fidelity 8th Grade, Session 10 Attachment OO - Student Program Fidelity 8th Grade Session 10.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	25	Student Program Fidelity 8th, Grade, Session 1	Attachment FF - Student+Program+Fidelity+8th+Grade+Session+1.docx	Yes	Yes	Paper Only
Form	26	Student Program Fidelity 8th Grade, Session 2	Attachment GG - Student+Program+Fidelity+8th+Grade+Session+2.docx	Yes	Yes	Paper Only
Form	27	Student Program Fidelity 8th Grade, Session 3	Attachment HH - Student+Program+Fidelity+8th+Grade+Session+3.docx	Yes	Yes	Paper Only
Form	28	Student Program Fidelity 8th Grade, Session 4	Attachment II - Student+Program+Fidelity+8th+Grade+Session+4.docx	Yes	Yes	Paper Only
Form	29	Student Program Fidelity 8th Grade, Session 5	Attachment JJ - Student+Program+Fidelity+8th+Grade+Session+5.docx	Yes	Yes	Paper Only
Form	30	Student Program Fidelity 8th Grade, Session 6	Attachment KK - Student+Program+Fidelity+8th+Grade+Session+6.docx	Yes	Yes	Paper Only
Form	31	Student Program Fidelity 8th Grade, Session 7	Attachment LL - Student+Program+Fidelity+8th+Grade+Session+7.docx	Yes	Yes	Paper Only
Form	32	Student Program Fidelity 8th Grade, Session 8	Attachment MM - Student+Program+Fidelity+8th+Grade+Session+8.docx	Yes	Yes	Paper Only
Form	33	Student Program Fidelity 8th Grade, Session 9	Attachment NN - Student+Program+Fidelity+8th+Grade+Session+9.docx	Yes	Yes	Paper Only
Form	34	Student Program Fidelity 8th Grade, Session 10	Attachment OO - Student Program Fidelity 8th Grade Session 10.docx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,880

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	2,880	2,880
Annual IC Time Burden (Hours)	720	720
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.