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School Principal Questionnaire (Time 2)
School Health Profiles Test-Retest Reliability Study
OMB: 0920-1320
IC ID: 242961
OMB.report
HHS/CDC
OMB 0920-1320
ICR 202008-0920-001
IC 242961
( )
Documents and Forms
Document Name
Document Type
School Principal Questionnaire (Time 2)
Form and Instruction
School Principal Questionnaire
AttC-Principal Ques 4-1-20.docx
Form and Instruction
School Principal Questionnaire
AttC-Principal Ques 4-1-20.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
School Principal Questionnaire (Time 2)
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
n/a
School Principal Questionnaire
AttC-Principal Ques 4-1-20.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
200
0
200
0
0
0
Annual IC Time Burden (Hours)
150
0
150
0
0
0
Annual IC Cost Burden (Dollars)
7,050
0
7,050
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.