Information Collection

BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers

IC 221951 under ICR 201606-0925-006 · OMB 0925-0747.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0747 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers	Form and Instruction
1 HERI Freshman Survey (On-line Version) Attachment_08a_-_HERI_Freshman_Survey_(On-line_Version).pdf	Form and Instruction
2 HERI Freshman Survey (Paper Version) Attachment_08b_-_HERI_Freshman_Survey_(Paper_Version).pdf	Form and Instruction

IC Title:

BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	1	HERI Freshman Survey (On-line Version)	Attachment_08a_-_HERI_Freshman_Survey_(On-line_Version).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	HERI Freshman Survey (Paper Version)	Attachment_08b_-_HERI_Freshman_Survey_(Paper_Version).pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service

FR Citation: 67 FR 187

Number of Respondents: 15,000

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
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	11,250	11,250
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.