Information Collection

Healthy Schools Questionnaire

IC 270336 under ICR 202504-0920-011 · OMB 0920-1455.

Documents and Forms

Document Name Document Type
Form 0920-24BJ Healthy Schools Questionnaire Form
Form 0920-24BJ Healthy Schools Questionnaire Healthy Schools Questionnaire Form
0920-24BJ Healthy Schools Questionnaire Attachment 09 - Healthy Schools Questionnaire (final) 6.14.24.docx Form
0920-24BJ Healthy Schools Questionnaire Attachment 09 - Healthy Schools Questionnaire (final) 6.14.24.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Healthy Schools Questionnaire	Agency IC Tracking Number:	0920-24BJ

Is this a Common Form? No		IC Status: Unchanged

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	0920-24BJ	Healthy Schools Questionnaire	Attachment 09 - Healthy Schools Questionnaire (final) 6.14.24.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	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.

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