Information Collection

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

IC 21220 under ICR 199709-1810-002 · OMB 1810-0036.

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Documents and Forms

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IC Title:

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

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:

table that charts list of 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: 925,698

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,848,998	60	1,848,938
Annual IC Time Burden (Hours)	943,318	360	942,958
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.