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High School Students
Simulations for Drug Related Science Education (NIDA)
OMB: 0925-0644
IC ID: 188561
OMB.report
HHS/NIH
OMB 0925-0644
ICR 200903-0925-002
IC 188561
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0644 can be found here:
2011-08-08 - New collection (Request for a new OMB Control Number)
Documents and Forms
Document Name
Document Type
Form 1
High School Students
Form
1 survey
Appendix1.doc
Form
2 survey
appendix2.doc
Form
Appendix 3.doc
Appendix 3
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
High School Students
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
1
survey
Appendix1.doc
Yes
Yes
Paper Only
Form
2
survey
appendix2.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
360
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
1,440
0
1,440
0
0
0
Annual IC Time Burden (Hours)
1,200
0
1,200
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix 3
Appendix 3.doc
03/17/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.