Information Collection

Primary Caregiver Report (Appendix V)

IC 46530 under ICR 200612-1850-004 · OMB 1850-0792.

Documents and Forms

Document Name Document Type
SACD Appendix V_Primary Caregiver Report_fin.doc Other-report
SACD OMB_memo_spring07changes_dec2006_r.doc OMB Memorandum to Rachel Potter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Primary Caregiver Report (Appendix V)	Agency IC Tracking Number:	3214

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-report			SACD Appendix V_Primary Caregiver Report_fin.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,545	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,545	4,545
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memorandum to Rachel Potter	SACD OMB_memo_spring07changes_dec2006_r.doc	12/22/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.