Information Collection

ARP HCY SEA and LEA National Study Survey

IC 256981 under ICR 202211-1810-002 · OMB 1810-0777.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ARP HCY SEA and LEA National Study Survey	Form
1810-new_Appendix A SEA Survey Instrument.docx	Form
1810-new_Appendix A SEA Survey Instrument--feedback to ED 3-17.docx	Form
1810-new_Appendix B LEA Survey Instrument.docx	Form
1810-new_Appendix B LEA Survey Instrument--feedback to ED 3-17.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form	N/A	N/A	1810-new_Appendix A SEA Survey Instrument--feedback to ED 3-17.docx		Yes	Yes	Fillable Fileable
Form	N/A	N/A	1810-new_Appendix B LEA Survey Instrument--feedback to ED 3-17.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: 3,936

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,936	3,936
Annual IC Time Burden (Hours)	2,290	2,290
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.