Information Collection

RTSND-11th Grade Student Baseline Survey

IC 216523 under ICR 201504-1830-002 · OMB 1830-0576.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RTSND-11th Grade Student Baseline Survey	Form and Instruction
11th Grade Student Baseline Survey Baseline_11th_grade_student_survey.docx	Form and Instruction

IC Title:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	11th Grade Student Baseline Survey	Baseline_11th_grade_student_survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,988

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	7,988	7,988
Annual IC Time Burden (Hours)	4,315	4,315
Annual IC Cost Burden (Dollars)	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.