Information Collection

Baseline Student Survey

IC 212104 under ICR 201406-1850-003 · OMB 1850-0912.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0912 can be found here:

Documents and Forms

Document Name Document Type
1850-UB OMB Appendix B Baseline Student Survey_final.docx Other-survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Baseline Student Survey	Agency IC Tracking Number:

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-survey			1850-UB OMB Appendix B Baseline Student Survey_final.docx		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: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,000	1,000
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.