Leadership Award

School Integrated Pest Management Awards Program

Documents and Forms

Document Name Document Type
Form 9600-009 Leadership Award Form and Instruction
2531ss02_Attachment H screenshots.docx Other-Screen shots
9600-009 School IPM Leadership Award 2531ss02_Attachment F.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Leadership Award	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	9600-009	School IPM Leadership Award	2531ss02_Attachment F.docx		Yes	Yes	Fillable Printable
Other-Screen shots			2531ss02_Attachment H screenshots.docx		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	0	10
Annual IC Time Burden (Hours)	362	-13	375
Annual IC Cost Burden (Dollars)	0	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.