Information Collection

Applications for Assistance (sections 8002 and 8003) Impact Aid Program

IC 21223 under ICR 200112-1810-001 · 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 (sections 8002 and 8003) Impact Aid Program	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				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 531,391	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,061,320	423	-142,010	1,202,907
Annual IC Time Burden (Hours)	531,211	300	-100,623	631,534
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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