Information Collection

Health Behavior and School Experiences Survey

IC 46537 under ICR 200612-1850-005 · OMB 1850-0818.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0818 can be found here:

Documents and Forms

Document Name Document Type
Appendix A Active Consent Form Final revised.doc Other-consent form
Health Behavior and School Experience Survey Appendix B Student Survey Final revised.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Behavior and School Experiences Survey	Agency IC Tracking Number:	3244

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-consent form			Appendix A Active Consent Form Final revised.doc		No		Paper Only
Form and Instruction	N/A	Health Behavior and School Experience Survey	Appendix B Student Survey Final revised.doc		No		Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,400	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	11,400	11,400
Annual IC Time Burden (Hours)	11,400	11,400
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.