Information Collection

The Sun Wise School Program (Change)

IC 24649 under ICR 201406-2060-003 · OMB 2060-0439.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-87 The Sun Wise School Program (Change)	Form and Instruction
5900-87 Registration: School 1904.04 Attachment_1a www.epa.gov/sunwise/becoming	Form and Instruction
Student questionnaire 1904.04 attachment2	Form and Instruction
5900-87 Registration: Organization 1904.04 Attachment_1b www.epa.gov/sunwise/becoming	Form and Instruction
Teacher and Nurse survey 1904.04 attachment3	Form and Instruction
Staff survey 1904.04 attachment4	Form and Instruction

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-87	Registration: School	1904.04 Attachment_1a	www.epa.gov/sunwise/becoming	Yes	Yes	Fillable Fileable Signable
Form and Instruction	none	Student questionnaire	1904.04 attachment2		No	No	Paper Only
Form and Instruction	5900-87	Registration: Organization	1904.04 Attachment_1b	www.epa.gov/sunwise/becoming	Yes	Yes	Fillable Fileable Signable
Form and Instruction	none	Teacher and Nurse survey	1904.04 attachment3		No	No	Paper Only
Form and Instruction	none	Staff survey	1904.04 attachment4		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,960

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 55 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,960	0	8,960
Annual IC Time Burden (Hours)	1,632	17	1,615
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.