Information Collection

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

IC 21221 under ICR 199711-1810-001 · OMB 1810-0036.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Applications for Assistance and State Certification Requests, Impact Aid -- Sections 8002 and 8003 and 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:

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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,848,998	1,848,998
Annual IC Time Burden (Hours)	943,318	943,318
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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