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Parental screener
Admongo Evaluation
OMB: 3084-0165
IC ID: 214688
OMB.report
FTC
OMB 3084-0165
ICR 201501-3084-001
IC 214688
( )
Documents and Forms
Document Name
Document Type
Proposed Admongo Survey parent screener.pdf
Other-Screening Questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parental screener
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
Other-Screening Questionnaire
Proposed Admongo Survey parent screener.pdf
Yes
Yes
Fillable Fileable
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:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
800
0
800
0
0
0
Annual IC Time Burden (Hours)
67
0
67
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.
