Information Collection

Student Rosters and Administrative Data Form

IC 233493 under ICR 201809-0937-001 · OMB 0937-0207.

Documents and Forms

Document Name Document Type
Form 8 Student Rosters and Administrative Data Form Form and Instruction
8 Classroom Report Report Appendix C. Templates for Rosters and Administrative Data.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Rosters and Administrative Data Form	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	8	Classroom Report Report	Appendix C. Templates for Rosters and Administrative Data.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	28	28
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.