Information Collection

Educator Outcome Survey Baseline

IC 201401 under ICR 201207-0920-010 · OMB 0920-0941.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0941 can be found here:

Documents and Forms

Document Name Document Type
Form 7 Educator Outcome Survey Baseline Form and Instruction
7 Educator Outcome Survey Atmt I Educator Outcome Survey_11-21-11.docx Form and Instruction
no form number Educator Outcome Survey Baseline Atmt_I_Educator_Outcome_Survey_Baseline7_23_2012.docx Form and Instruction
Atmt RRR Screen Shots Educator Survey_11-22-11 BT.doc Atmt RRR Screen Shots Educator Survey_11-22-11 BT IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Educator Outcome Survey Baseline	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7	Educator Outcome Survey	Atmt I Educator Outcome Survey_11-21-11.docx		No	No	Paper Only
Form and Instruction	no form number	Educator Outcome Survey Baseline	Atmt_I_Educator_Outcome_Survey_Baseline7_23_2012.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,672	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,672	-1,496	3,168
Annual IC Time Burden (Hours)	836	-748	1,584
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Atmt RRR Screen Shots Educator Survey_11-22-11 BT	Atmt RRR Screen Shots Educator Survey_11-22-11 BT.doc	02/27/2012

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