CBO - Carol M. White Physical Education Program Survey

Evaluation of the Carol M. White Physical Education Program

Documents and Forms

Document Name Document Type
Att_PEP_CBO_Survey_Year1_02032011.docx Other-Survey
Att_PEP_CBO_Survey_Year3_02032011.docx Other-Survey
Final_PEP_CaseStudy_Protocols.docx Other-Interview

Information Collection (IC) Details

IC Title:	CBO - Carol M. White Physical Education Program Survey	Agency IC Tracking Number:	4878

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Att_PEP_CBO_Survey_Year1_02032011.docx	Yes	Yes	Fillable Fileable
Other-Survey	Att_PEP_CBO_Survey_Year3_02032011.docx	Yes	Yes	Fillable Fileable
Other-Interview	Final_PEP_CaseStudy_Protocols.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: 23	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	23	11	12
Annual IC Time Burden (Hours)	23	11	12
Annual IC Cost Burden (Dollars)	0	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.