Information Collection

Applications for Assistance -- Sections 8002 and 8003 and State Certification Requests -- Section 8009, Impact Aid

IC 21218 under ICR 199610-1810-001 · OMB 1810-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0036 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Applications for Assistance -- Sections 8002 and 8003 and State Certification Requests -- Section 8009, Impact Aid	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ED-4019				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,018,082	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	2,033,574	224	2,033,350
Annual IC Time Burden (Hours)	1,054,373	14	1,054,359
Annual IC Cost Burden (Dollars)	0	0	0

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