Information Collection

D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)

IC 7140 under ICR 200804-0920-002 · OMB 0920-0672.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0672 can be found here:

Documents and Forms

Document Name Document Type
Form 4 D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007) Form and Instruction
3 D-1-Indicators for School Health Programs: HIV Preventio Attachment D-1 (HIV LEA - FY2007).pdf Form and Instruction
4 D-2-Indicators for School Health Programs: HIV Preventio Attachment D-2 (HIV LEA - FY2008-FY2010).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	4	D-2-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2008-2010)	Attachment D-2 (HIV LEA - FY2008-FY2010).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	3	D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)	Attachment D-1 (HIV LEA - FY2007).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	119	119
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.