Information Collection

Individual Student Performance Report for the Jacob K. Javits Fellowship Program (JH)

IC 22112 under ICR 200803-1840-003 · OMB 1840-0781.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0781 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Individual Student Performance Report for the Jacob K. Javits Fellowship Program (JH)	Form
Javits Student Application Report Javits 0408 updated ASAR.doc	Form
Javits ASAR Memo to Fellows.doc Javits Memo to Fellows.	IC Document
Javits updated 0408 ASAR Instruc.doc Instructions for Javits Student Report Form	IC Document

IC Title:

Individual Student Performance Report for the Jacob K. Javits Fellowship Program (JH)

Agency IC Tracking Number:

3571

Is this a Common Form? No

IC Status: Modified

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	NA	Javits Student Application Report	Javits 0408 updated ASAR.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 190

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	570	570
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Javits Memo to Fellows.	Javits ASAR Memo to Fellows.doc	04/01/2008
Instructions for Javits Student Report Form	Javits updated 0408 ASAR Instruc.doc	04/08/2008

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