Information Collection

Sample (Appendix C) Student Questionnaire and School Administrator Questionnaire

IC 193706 under ICR 201006-1850-004 · OMB 1850-0755.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0755 can be found here:

Documents and Forms

Document Name Document Type
Att_Appendix C PISA 2012 Recruitment and Field Test.pdf Other-questionnaires

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Sample (Appendix C) Student Questionnaire and School Administrator Questionnaire	Agency IC Tracking Number:	4303

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-questionnaires			Att_Appendix C PISA 2012 Recruitment and Field Test.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,291	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,291	1,291
Annual IC Time Burden (Hours)	646	646
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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