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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard)
Agency IC Tracking Number:
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 and Instruction
DDD
Student Program Fidelity 8th Grade Session 2
Atmt DDD SafeDatesStandardSession2.docx
No
No
Paper Only
Form and Instruction
EEE
Student Program Fidelity 8th Grade Session 3
Atmt EEE SafeDatesStandardSession3.docx
No
No
Paper Only
Form and Instruction
CCC
Student Program Fidelity 8th Grade Session 1 (Standard)
Atmt CCC SafeDatesStandardSession1.docx
No
No
Paper Only
Form and Instruction
FFF
Student Program Fidelity 8th Grade Session 4
Atmt FFF SafeDatesStandardSession4.docx
No
No
Paper Only
Form and Instruction
GGG
Student Program Fidelity 8th Grade Session 5
Atmt GGG SafeStandardCompSession5.docx
No
No
Paper Only
Form and Instruction
HHH
Student Program Fidelity 8th Grade Session 6
Atmt HHH SafeDatesStandardSession6.docx
No
No
Paper Only
Form and Instruction
III
Student Program Fidelity 8th Grade Session 7
Atmt III SafeDatesStandardSession7.docx
No
No
Paper Only
Form and Instruction
KKK
Student Program Fidelity 8th Grade Session 9
Atmt KKK SafeDatesStandardSession9.docx
No
No
Paper Only
Form and Instruction
JJJ
Student Program Fidelity 8th Grade Session 8
Atmt JJJ SafeDatesStandardSession8.docx
No
No
Paper Only
Form and Instruction
LLL
Student Program Fidelity 8th Grade Session 10
Atmt LLL SafeDatesStandardSession10.docx
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
800
0
0
0
0
800
Annual IC Time Burden (Hours)
200
0
0
0
0
200
Annual IC Cost Burden (Dollars)
0
0
0
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.