Information Collection

FitnessGram Data Collection Form - 6th Grade Students PYFP Schools

IC 224641 under ICR 201611-0920-009 · OMB 0920-1167.

Documents and Forms

Document Name Document Type
FitnessGram Data Collection Form - 6th Grade Students PYFP Schools Form and Instruction
Fitness Gram Data Collection Form - 6th Grade Students i Att 28 FitnessGram Data Collection Form.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FitnessGram Data Collection Form - 6th Grade Students PYFP Schools	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
Form and Instruction	NA	Fitness Gram Data Collection Form - 6th Grade Students in PYFP Schools	Att 28 FitnessGram Data Collection Form.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 615	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
Annual Number of Responses for this IC	1,230	1,230
Annual IC Time Burden (Hours)	308	308
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.