Student Survey Data Abstraction

Now Is the Time (NITT) - Project AWARE (Advancing Wellness and Resilience in Education) - State Education Agencies (SEA) National Evaluation

Documents and Forms

Document Name Document Type
Form Student Survey Dat Student Survey Data Abstraction Form and Instruction
Student Survey Dat Student Survey Data Abstraction Attachment 8_Student Survey Data Abstraction_03-22-16.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Student Survey Data Abstraction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Student Survey Data Abstraction	Student Survey Data Abstraction	Attachment 8_Student Survey Data Abstraction_03-22-16.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.