COVID-19 Emotional Wellness -- Students

COVID-19 Symptom Tracker for Students, Emotional Wellness Form for Students, and Student Vaccination Status and Test Consent Form Collection

OMB: 1205-0548

IC ID: 249486

Information Collection (IC) Details

View Information Collection (IC)

COVID-19 Emotional Wellness -- Students
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attestation 1205-0NEW CLEAN Attachment A + B Symptom Tracker and Emotional Wellness 9.20.2021 OJC.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

20,000 0
   
Individuals or Households
 
   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 3,640,000 0 3,640,000 0 0 0
Annual IC Time Burden (Hours) 1,201,200 0 1,201,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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