Information Collection

Student Program Fidelity 7th Grade Sessions 1 - 7

IC 201407 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form AA Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
AA Student Program Fidelity 7th Grade Session 1 Atmt AA StudentProgram 7th Grade Session 1.docx	Form and Instruction
BB Student Program Fidelity 7th Grade Session 2 Atmt BB StudentProgram 7th Grade Session 2.docx	Form and Instruction
CC Student Program Fidelity 7th Grade Session 3 Atmt CC Student Program 7th Grade Session 3.docx	Form and Instruction
DD Student Program Fidelity 7th Grade Session 4 Atmt DD StudentProgram 7th Grade Session 4.docx	Form and Instruction
EE Student Program Fidelity 7th Grade Session 5 Atmt EE StudentProgram 7th Grade Session 5.docx	Form and Instruction
FF Student Program Fidelity 7th Grade Session 6 Atmt FF StudentProgram 7th Grade Session 6.docx	Form and Instruction
GG Student Program Fidelity 7th Grade Session 7 Atmt GG StudentProgram 7th Grade Session 7.docx	Form and Instruction
Attachments AA-GG Student Program Fidelity 7th Grade Ses 7th grade Student Program Fidelity Logs_Session 1-7 (Atmts AA-GG)7_23_2012.docx	Form and Instruction

IC Title:

Student Program Fidelity 7th Grade Sessions 1 - 7

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AA	Student Program Fidelity 7th Grade Session 1	Atmt AA StudentProgram 7th Grade Session 1.docx	No	No	Paper Only
Form and Instruction	BB	Student Program Fidelity 7th Grade Session 2	Atmt BB StudentProgram 7th Grade Session 2.docx	No	No	Paper Only
Form and Instruction	CC	Student Program Fidelity 7th Grade Session 3	Atmt CC Student Program 7th Grade Session 3.docx	No	No	Paper Only
Form and Instruction	DD	Student Program Fidelity 7th Grade Session 4	Atmt DD StudentProgram 7th Grade Session 4.docx	No	No	Paper Only
Form and Instruction	EE	Student Program Fidelity 7th Grade Session 5	Atmt EE StudentProgram 7th Grade Session 5.docx	No	No	Paper Only
Form and Instruction	FF	Student Program Fidelity 7th Grade Session 6	Atmt FF StudentProgram 7th Grade Session 6.docx	No	No	Paper Only
Form and Instruction	GG	Student Program Fidelity 7th Grade Session 7	Atmt GG StudentProgram 7th Grade Session 7.docx	No	No	Paper Only
Form and Instruction	None	Attachments AA-GG Student Program Fidelity 7th Grade Sessions 1-7	7th grade Student Program Fidelity Logs_Session 1-7 (Atmts AA-GG)7_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: 560

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	560	-518	1,078
Annual IC Time Burden (Hours)	140	-130	270
Annual IC Cost Burden (Dollars)	0	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.