Information Collection

Attachment B35. Teachery Survery (Teacher)

IC 179858 under ICR 201002-0920-008 · OMB 0920-0747.

Documents and Forms

Document Name Document Type
Attachment B35. Teachery Survery (Teacher) Form and Instruction
Teacher Survey Attachment B35 Teacher Survey scan.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attachment B35. Teachery Survery (Teacher)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form and Instruction	None	Teacher Survey	Attachment B35 Teacher Survey scan.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 4,154	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-4,154	4,154
Annual IC Time Burden (Hours)	-692	692
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.