Information Collection

Participant Baseline Surveys

IC 212104 under ICR 201508-1850-001 · OMB 1850-0912.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1850-UB OMB Appendix B Baseline Student Survey_final.docx	Other-survey
1850-0912 appendix c student survey invit letter.docx	Other-survey invitational letter

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
Other-survey					Yes	Yes	Fillable Fileable
Other-survey invitational letter					Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,334

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	Previously Approved
Annual Number of Responses for this IC	1,334	-2,666	4,000
Annual IC Time Burden (Hours)	334	-666	1,000
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.

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