Information Collection

Bullying Prevention Online Course –Evaluation Questions - Course Specific

IC 230144 under ICR 201612-0920-007 · OMB 0920-1009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1009 Bullying Prevention Online Course –Evaluation Questions - Course Specific	Form and Instruction
0920-1009 Course Specific Evaluation Questions Att.A_ Course Specific Evaluation Questions 1-16-18.DOCX	Form and Instruction
109_GenIC_Request_Bullying Prevention Online Course_21FEB2018.docx GenIC Request	IC Document

IC Title:

Bullying Prevention Online Course âEvaluation Questions - Course Specific

Agency IC Tracking Number:

0920-1009-18MK

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	0920-1009	Course Specific Evaluation Questions	Att.A_ Course Specific Evaluation Questions 1-16-18.DOCX	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

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	4,500	4,500
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	109_GenIC_Request_Bullying Prevention Online Course_21FEB2018.docx	02/21/2018

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