Information Collection

Johnson-O'Malley Student Count Form Pre-Test

IC 235609 under ICR 201805-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
JOM collection instrumnet for preliminary count.xlsx	Other-Pre-Test Form
DI-4011 Fast Track Request Form--JOMml.pdf Request for Approval	IC Document

IC Title:

Johnson-O'Malley Student Count Form Pre-Test

Agency IC Tracking Number:

2019-BIA-FT70

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
Other-Pre-Test Form			JOM collection instrumnet for preliminary count.xlsx		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 530

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	530	530
Annual IC Time Burden (Hours)	530	530
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	DI-4011 Fast Track Request Form--JOMml.pdf	04/09/2019

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