Information Collection

Scholarship Contract and Teaching Verification Form for Title II Scholarship Recipients

IC 22069 under ICR 200305-1840-001 · OMB 1840-0753.

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Information Collection (IC) Details

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IC Title:	Scholarship Contract and Teaching Verification Form for Title II Scholarship Recipients	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	84.336				Yes	Yes
Form	1840				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,850	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,450	40,450
Annual IC Time Burden (Hours)	3,250	3,250
Annual IC Cost Burden (Dollars)	106,109,000	106,109,000

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