Information Collection

School Administrator Survey - Non-PYFP School

IC 224685 under ICR 201611-0920-009 · OMB 0920-1167.

Documents and Forms

Document Name Document Type
School Administrator Survey - Non-PYFP School Form and Instruction
School Administrator Survey - Non-PYFP School Att 21b School Administrator Survey (non-PYFP Schools).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	School Administrator Survey - Non-PYFP School	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	NA	School Administrator Survey - Non-PYFP School	Att 21b School Administrator Survey (non-PYFP Schools).docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	2	2
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.