Interview Protocol and Data Tables

Study of State Implementation of the Unsafe School Choice Option

Documents and Forms

Document Name Document Type
Interview Protocol and Data Tables Form
USCO Table Appendix B USCO Tables.docx Form
Appendix C USCO Consent and Notification.docx Consent Forms IC Document
Appendix A USCO Interview_6Feb19.docx USCO Interview IC Document

Information Collection (IC) Details

IC Title:	Interview Protocol and Data Tables	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	USCO Table	Appendix B USCO Tables.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	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	56	56
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Consent Forms	Appendix C USCO Consent and Notification.docx	11/21/2018
USCO Interview	Appendix A USCO Interview_6Feb19.docx	02/06/2019

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