Prevalance Questionnaire

Study of the Implemenation of the Safe and Drug-Free Schools and Communities Act (SDFSCA) State Grants

Documents and Forms

Document Name Document Type
Prevalance Questionnaire Form
Prevalence Questionnaire Att_Appendix A (1 of 4) - Prevalence Qx for 2nd OMB (01-23-09).pdf Form

Information Collection (IC) Details

IC Title:	Prevalance Questionnaire	Agency IC Tracking Number:	3906

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Prevalence Questionnaire	Att_Appendix A (1 of 4) - Prevalence Qx for 2nd OMB (01-23-09).pdf		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: 6,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	3,000	3,000
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.