Information Collection

Speak Up Survey

IC 211893 under ICR 201406-0704-003 · OMB 0704-0520.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Question Sets_Students and Parents_FINAL.xlsx	Other-Surveys
K_2_Lesson_plan and Survey.doc	Other-Lesson Plan and Survey Questio
Agency_Disclosure_Notice.doc	Other-Agency Disclosure Notice
OMB New DoDEA Speak Up Svy-Parental consent.docx	Other-Parental Consent Form
Sample Emails_Students and Parents.pdf	Other-Sample emails
PING_Principalemail.docx	Other-Email from Principal

IC Title:

Speak Up Survey

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Email from Principal	PING_Principalemail.docx	Yes	Yes	Fillable Fileable
Other-Surveys	Question Sets_Students and Parents_FINAL.xlsx	Yes	Yes	Fillable Fileable
Other-Lesson Plan and Survey Questions for grades K-2	K_2_Lesson_plan and Survey.doc	Yes	Yes	Fillable Fileable
Other-Agency Disclosure Notice	Agency_Disclosure_Notice.doc	Yes	Yes	Fillable Fileable
Other-Parental Consent Form	OMB New DoDEA Speak Up Svy-Parental consent.docx	No		Paper Only
Other-Sample emails	Sample Emails_Students and Parents.pdf	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,292

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,292	1,292
Annual IC Time Burden (Hours)	431	431
Annual IC Cost Burden (Dollars)	8,484	8,484

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.