Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program (JH)

Forms and Documents

Document Name	Status
Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program Form	New
Att_Javits AnnRp OMB Memo.doc Supplementary Document	2007-09-04
Att_JKJFP Statute(JH)3359.doc Supplementary Document	2007-08-22
Att_JKJFP Regulations(JH)3359.doc Supplementary Document	2007-08-22
Att_Javits AnnRpt Supp Stmt(JH)3359.doc Supporting Statement A	2007-08-22

IC Document Collections

IC ID	Document Title	Status
21931	Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program (JS)	Removed
181775	Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program Form	New

ICR Details

OMB Control No: 1840-0630	ICR Reference No: 200708-1840-004
Status: Historical Active	Previous ICR Reference No: 200409-1840-001
Agency/Subagency: ED/OPE	Agency Tracking No: 3359
Title: Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program (JH)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/13/2007
	Date Received in OIRA: 09/07/2007
Terms of Clearance: OMB notes this collection should have been submitted as an extension rather than a revision.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved	11/30/2007
Responses	100	0	100
Time Burden (Hours)	400	0	400
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Education (ED) uses this form to collect financial need information of students who have Javits fellowships and certification of academic progres of Javits Fellows from institutions where Javits Fellows attend. ED uses the data to calculate fellowship amounts for individuals and the total amount of program funds to be sent to the institution.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 33211	06/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 49271	08/28/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program (JS)	84.170
Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program	N/A	Annual Performance Finacial Need and Certification Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100	100	0	0	0	0
Annual Time Burden (Hours)	400	400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is no change in burden -- apparently ROCIS generated the "Short Statement" because we deleted the "original IC" (which did not contain any form as the last clearance was pre-rocis), and created a new IC (with form) instead.

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Annual Cost to Federal Government: $5,291

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/07/2007

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