Speak Up Survey

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.