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Student Assent and Baseline Forms
Impact Evaluation of Upward Bound's Increased Focus on Higher-Risk Students - Baseline Data Collection Protocols
OMB: 1850-0822
IC ID: 46415
OMB.report
ED/IES
OMB 1850-0822
ICR 200704-1850-001
IC 46415
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0822 can be found here:
2007-07-17 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Att_Attachment 3 UB BIF for Students.Amended.doc
Other-Baseline Information Form
Att_Attachment 2 Student Informed Assent.Legal.Edits.doc
Other-Student Informed Assent Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Assent and Baseline Forms
Agency IC Tracking Number:
3242
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-Baseline Information Form
Att_Attachment 3 UB BIF for Students.Amended.doc
No
Paper Only
Other-Student Informed Assent Form
Att_Attachment 2 Student Informed Assent.Legal.Edits.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Higher Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,200
0
0
0
0
7,200
Annual IC Time Burden (Hours)
2,100
0
0
0
0
2,100
Annual IC Cost Burden (Dollars)
0
0
0
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.