Information Collection

Safe Schools/Healthy Students (1890-0001)

IC 22613 under ICR 200705-1865-001 · OMB 1865-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1865-0004 can be found here:

Documents and Forms

Document Name Document Type
Safe Schools/Healthy Students (1890-0001) Form and Instruction
SAFE SCHOOLS/HEALTHY STUDENTS Att_SSHS Application FY 07 edics.doc Form and Instruction
Att_ED Forms for SSHS edics standard forms.doc Standard Form IC Document
Att_Grants.gov Application Instru EDICS.doc Application Instructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Safe Schools/Healthy Students (1890-0001)	Agency IC Tracking Number:	3281

Is this a Common Form? No		IC Status: Modified

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 and Instruction	N/A	SAFE SCHOOLS/HEALTHY STUDENTS	Att_SSHS Application FY 07 edics.doc		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	13,000	13,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Standard Form	Att_ED Forms for SSHS edics standard forms.doc	02/16/2007
Application Instructions	Att_Grants.gov Application Instru EDICS.doc	02/16/2007

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