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Interview with School Administrators
Formative Research for and Community Uptake of the Eagle Books and Youth Books for American Indians and Alaska Natives
OMB: 0920-0897
IC ID: 198625
OMB.report
HHS/CDC
OMB 0920-0897
ICR 201107-0920-005
IC 198625
( )
Documents and Forms
Document Name
Document Type
Interview with School Administrators
Form
School Administrators Interview Guide
D-1 School Admin Interview Guide.doc
Form
D-2 School Admin Information Sheet.doc
Att D2 - Info Sheet for School Admin
IC Document
D-3 School Admin Consent Form.doc
Att D3 - Consent for School Admin
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Interview with School Administrators
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
none
School Administrators Interview Guide
D-1 School Admin Interview Guide.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4
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
4
0
4
0
0
0
Annual IC Time Burden (Hours)
4
0
4
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att D2 - Info Sheet for School Admin
D-2 School Admin Information Sheet.doc
07/20/2011
Att D3 - Consent for School Admin
D-3 School Admin Consent Form.doc
07/20/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.