Information Collection

School records: data file submission

IC 234184 under ICR 201902-0970-008 · OMB 0970-0402.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0402 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA Attachment 13 MIHOPE-K School Records Request.docx	Other-Records Request

IC Title:

School records: data file submission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Records Request			SSA Attachment 13 MIHOPE-K School Records Request.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	270	270
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.