Information Collection

Parent Program Fidelity 7th Grade Sessions 1, 3, 5

IC 201405 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form T Parent Program Fidelity 7th Grade Sessions 1, 3, 5	Form
T Parent Program Fidelity 7th Grade Session 5 Atmt T Parent Program 7th Grade Session 5.docx	Form
R Parent Program Fidelity 7th Grade Session 1 Atmt R Parent Program 7th Grade Session 1.docx	Form
S Parent Program Fidelity 7th Grade Session 3 Atmt S Parent Program 7th Grade Session 3.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	T	Parent Program Fidelity 7th Grade Session 5	Atmt T Parent Program 7th Grade Session 5.docx	No	No	Paper Only
Form	R	Parent Program Fidelity 7th Grade Session 1	Atmt R Parent Program 7th Grade Session 1.docx	No	No	Paper Only
Form	S	Parent Program Fidelity 7th Grade Session 3	Atmt S Parent Program 7th Grade Session 3.docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-378	378
Annual IC Time Burden (Hours)	-95	95
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.