Information Collection

LEA - Carol M. White Physical Education Program Survey

IC 196161 under ICR 201207-1875-003 · OMB 1875-0258.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_PEP_LEA_Survey_Year1_02032011.docx	Other-Survey
Att_PEP_LEA_Survey_Year3_02032011.docx	Other-Survey
Final_PEP_CaseStudy_Protocols.docx	Other-Interview

IC Title:

Agency IC Tracking Number:

4878

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Att_PEP_LEA_Survey_Year1_02032011.docx	Yes	Yes	Fillable Fileable
Other-Survey	Att_PEP_LEA_Survey_Year3_02032011.docx	Yes	Yes	Fillable Fileable
Other-Interview	Final_PEP_CaseStudy_Protocols.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	-11	65
Annual IC Time Burden (Hours)	54	-11	65
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.