Information Collection

NHES Screeners and Questionnaires

IC 41461 under ICR 201109-1850-003 · OMB 1850-0768.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0768 can be found here:

Documents and Forms

Document Name Document Type
Appendix B NHES 2012 Questionnaires.docx Other-Screener

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NHES Screeners and Questionnaires	Agency IC Tracking Number:	4722

Is this a Common Form? No		IC Status: Modified

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-Screener			Appendix B NHES 2012 Questionnaires.docx		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: NCES Longitudinal Studiesa nd the School and Staffing Surveys	FR Citation: 64 FR 30181

Number of Respondents: 97,376	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	Previously Approved
Annual Number of Responses for this IC	119,411	87,011	32,400
Annual IC Time Burden (Hours)	15,460	12,760	2,700
Annual IC Cost Burden (Dollars)	0	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.