Counselor/ Social Worker Site Visit Interview Protocol

Strategies For Preparing At-Risk Youth For Postsecondary Success

Documents and Forms

Document Name Document Type
1875-NEW Counselor Social Worker Protocol_11-14-12_clean.docx Other-protocol

Information Collection (IC) Details

IC Title:	Counselor/ Social Worker Site Visit Interview Protocol	Agency IC Tracking Number:	4858

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
Other-protocol			1875-NEW Counselor Social Worker Protocol_11-14-12_clean.docx		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	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 Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
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.