Student Data Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0172 can be found here:

Documents and Forms

Document Name Document Type
Form Form 182 Student Data Form Form and Instruction
Form 182 Student Data Form 1218-0172_Student_Data_Form_with_Instructions_(10-31-13).xml Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Data Form	Agency IC Tracking Number:	1218-0172(2013)

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	Form 182	Student Data Form	1218-0172_Student_Data_Form_with_Instructions_(10-31-13).xml		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	1,000	2,000
Annual IC Time Burden (Hours)	240	80	160
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.