Information Collection

Student Outcome Survey Follow-up - High School

IC 201397 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Student Outcome Survey Follow-Up with High School Items Student Outcome Survey Follow-up - High School	Form
Student Outcome Survey Follow-Up with High School Items Attachment D_Student_Survey_Clean.doc	Form

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	NA			NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Records of Subjects in Health Promotion and Education Studies and Education Studies

FR Citation: 51 FR 42484

Number of Respondents: 4,399

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	4,399	-6,293	10,692
Annual IC Time Burden (Hours)	3,299	-5,611	8,910
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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