View Information Collection (IC)

View Information Collection (IC)

IC Title:	TEACHERS' DATA COLLECTION CHECKLIST	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	J	TEACHERS' DATA COLLECTION CHECKLIST	Appendix J Data Collection Checklist for the NYTS.doc		No	No	Paper Only

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: 635	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	635	0	635	0	0	0
Annual IC Time Burden (Hours)	159	0	159	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
TEACHERS' DATA COLLECTION CHECKLIST Supplemental Documents	Appendix K. Data Collection Checklist Supplemental docs.doc	06/06/2008

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