Safe Schools/Healthy Students (1890-0001)

Forms and Documents

Document Name	Status
Safe Schools/Healthy Students (1890-0001) Form	Modified
Standard Forms and Instructions SSHS FY08.doc Supplementary Document	2007-12-13
Memo to OMB Desk Officer Change FY 08 SSHS.doc Supplementary Document	2007-12-13
SSHS 83c.doc Justification for No Material/Nonsubstantive Change	2007-11-21
OMB Desk Officer Change FY 08 SSHS.doc Justification for No Material/Nonsubstantive Change	2007-11-21
Att_OIRA Terms of Clearance Revised 07 package.doc Supplementary Document	2007-02-16
Att_OIRA Cover Memo Revised 07 package.doc Supplementary Document	2007-02-16
Supporting Statement.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
22613	Safe Schools/Healthy Students (1890-0001) Form	Modified

ICR Details

OMB Control No: 1865-0004	ICR Reference No: 200711-1865-001
Status: Historical Active	Previous ICR Reference No: 200705-1865-001
Agency/Subagency: ED/OSDFS	Agency Tracking No: 3281
Title: Safe Schools/Healthy Students (1890-0001)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/27/2007
	Date Received in OIRA: 11/21/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	04/30/2010	04/30/2010
Responses	500	0	500
Time Burden (Hours)	13,000	0	13,000
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected will be used first to assess applicant's proposal in order to make grant awards. Secondly, for those applicants awarded grant funds, information collected will be part of their local evaluation to be used to determine effectiveness of project implementation and progress in meeting outcomes.

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Authorizing Statute(s): PL: Pub.L. 107 - 110 4121 Name of Law: The Safe and Drug-Free Schools and Communities Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1865-ZA04	Final or interim final rulemaking	72 FR 26692	05/10/2007

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Safe Schools/Healthy Students (1890-0001)	N/A	SAFE SCHOOLS/HEALTHY STUDENTS

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	500	500	0	0	0	0
Annual Time Burden (Hours)	13,000	13,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $263,550

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/21/2007

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