Information Collection

Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

IC 181775 under ICR 200708-1840-004 · OMB 1840-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0630 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program	Form
Annual Performance Finacial Need and Certification Repor Att_JKJ Annual Perf Need Cert Rpt Frm(JH)3359.doc	Form
Att_JKJ Annual Rpt Instruc(JH)3359.doc INSTRUCTIONS FOR COMPLETING THE ANNUAL PERFORMANCE, FINANCIAL NEED AND CERTIFICATION REPORT FOR THE JACOB K. JAVITS FELLOWSHIP P	IC Document
Att_JKJ NCC Coord Ltr(JH)3359.doc ATTACHMENT D Coordinating Letter	IC Document
Att_JKJ Annual Rpt Fellow FAFSA Ltr(JH)3359.doc Continuation of your studies on the Jacob K. Javits Fellowship requires that you complete the [next fiscal year] Free Applicatio	IC Document
Att_Sample JKJ NCC by Inst and Cohort (JH)3359.xls Sample JKJ NCC	IC Document

IC Title:

Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

Agency IC Tracking Number:

3359

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Annual Performance Finacial Need and Certification Report	Att_JKJ Annual Perf Need Cert Rpt Frm(JH)3359.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
INSTRUCTIONS FOR COMPLETING THE ANNUAL PERFORMANCE, FINANCIAL NEED AND CERTIFICATION REPORT FOR THE JACOB K. JAVITS FELLOWSHIP PROGRAM	Att_JKJ Annual Rpt Instruc(JH)3359.doc	08/22/2007
ATTACHMENT D Coordinating Letter	Att_JKJ NCC Coord Ltr(JH)3359.doc	08/22/2007
Continuation of your studies on the Jacob K. Javits Fellowship requires that you complete the [next fiscal year] Free Application for Federal Student Aid (FAFSA)	Att_JKJ Annual Rpt Fellow FAFSA Ltr(JH)3359.doc	08/22/2007
Sample JKJ NCC	Att_Sample JKJ NCC by Inst and Cohort (JH)3359.xls	08/22/2007

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