Information Collection

GenIC UNICEF/Washington Group School Environment Evaluation Study 2016

IC 220016 under ICR 201506-0920-003 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 Questionnaire.docx	Other-WORD
Attachment 2 Phone Screener.docx	Other-WORD
UNICEF 10-day letter 011216.docx UNICEF/WGSEnviornment Evaluation Study	IC Document

IC Title:

GenIC UNICEF/Washington Group School Environment Evaluation Study 2016

Agency IC Tracking Number:

16JZ

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
Other-WORD			Attachment 1 Questionnaire.docx		Yes	Yes	Fillable Fileable
Other-WORD			Attachment 2 Phone Screener.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

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	26	26
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
UNICEF/WGSEnviornment Evaluation Study	UNICEF 10-day letter 011216.docx	02/08/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.