Memorandum

UNITED STATES DEPARTMENT OF EDUCATION

MEMORANDUM Washington, DC 20006-8521

Date:

To: Katherine Astrich

Desk Officer

Office of Information and Regulatory Affairs

Office of Management and Budget

Through: Regulatory Information Management Services

From: James Davis

Acting Director

Teacher and Student Development Programs Service

Subject: Request for the Extension of the Currently Approved Collection for the Report of Financial Need and Certification Package for the Jacob K. Javits Fellowship Program—CFDA No. 84.170

Attached please find a requested extension for the information clearance package for OMB No. 1840-0630, the Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program. The report is designed to collect required information from institutions of higher education regarding participants in the Jacob K. Javits Fellowship Program. The data collected is required in order for grantee institutions to request new and continued funding for fellows.

If additional information is needed, please contact Carmen Gordon at 219-7138. Thank you for your consideration of this request.

Attachments: A. Information Collection Submission Worksheet

Part I: Information Collection Request

2. Paperwork Reduction Act Submission Worksheet

Part II: Information Collection Detail Worksheet

3. Supporting Statement for Paperwork Reduction Act Submission

4. Report of Financial Need and Certification Package

5. Javits Program statute

6. Javits Program regulations

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