Information Collection

Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports

IC 7142 under ICR 200411-0920-001 · OMB 0920-0674.

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IC Title:	Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,045	4,045
Annual IC Time Burden (Hours)	301	301
Annual IC Cost Burden (Dollars)	0	0

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