Information Collection

Student Program Fidelity 7th Grade Sessions 1 - 7

IC 201407 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF Student Program Fidelity 7th Grade Session 6 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form AA Student Program Fidelity 7th Grade Session 1 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form BB Student Program Fidelity 7th Grade Session 2 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form CC Student Program Fidelity 7th Grade Session 3 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form DD Student Program Fidelity 7th Grade Session 4 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form EE Student Program Fidelity 7th Grade Session 5 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
Form GG Student Program Fidelity 7th Grade Session 7 Student Program Fidelity 7th Grade Sessions 1 - 7	Form and Instruction
AA Student Program Fidelity 7th Grade Session 1 Atmt AA StudentProgram 7th Grade Session 1.docx	Form and Instruction
BB Student Program Fidelity 7th Grade Session 2 Atmt BB StudentProgram 7th Grade Session 2.docx	Form and Instruction
CC Student Program Fidelity 7th Grade Session 3 Atmt CC Student Program 7th Grade Session 3.docx	Form and Instruction
DD Student Program Fidelity 7th Grade Session 4 Atmt DD StudentProgram 7th Grade Session 4.docx	Form and Instruction
EE Student Program Fidelity 7th Grade Session 5 Atmt EE StudentProgram 7th Grade Session 5.docx	Form and Instruction
FF Student Program Fidelity 7th Grade Session 6 Atmt FF StudentProgram 7th Grade Session 6.docx	Form and Instruction
GG Student Program Fidelity 7th Grade Session 7 Atmt GG StudentProgram 7th Grade Session 7.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Student Program Fidelity 7th Grade Sessions 1 - 7

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AA	No	No	Paper Only
Form and Instruction	BB	No	No	Paper Only
Form and Instruction	CC	No	No	Paper Only
Form and Instruction	DD	No	No	Paper Only
Form and Instruction	EE	No	No	Paper Only
Form and Instruction	FF	No	No	Paper Only
Form and Instruction	GG	No	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 560

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	-560	560
Annual IC Time Burden (Hours)	-140	140
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.

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