Information Collection

Districts/ Student Background Data Request

IC 181150 under ICR 200707-1850-004 · OMB 1850-0839.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0839 can be found here:

Documents and Forms

Document Name Document Type
Districts/ Student Background Data Request Form and Instruction
Student Background Data Request Student Background Data Request 6_071.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Districts/ Student Background Data Request	Agency IC Tracking Number:	3311

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Student Background Data Request	Student Background Data Request 6_071.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: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	30	30
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.