Information Collection

Att E_School Officials (Interviews)

IC 7069 under ICR 201601-0920-004 · OMB 0920-0604.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0604 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att E_School Official (Interview).docx	Other-CATI
Att I_Telephone Consent Script.doc Att I_Telephone Consent Script (Officials)	IC Document

IC Title:

Att E_School Officials (Interviews)

Agency IC Tracking Number:

0604

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 242

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-CATI			Att E_School Official (Interview).docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

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	35	0	35
Annual IC Time Burden (Hours)	38	3	35
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att I_Telephone Consent Script (Officials)	Att I_Telephone Consent Script.doc	01/12/2016

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