HEDR 2009 Pre-Application Form

Higher Education Disaster Relief, Pre-Application Information Form

Documents and Forms

Document Name Document Type
HEDR 2009 Pre-Application Form Form
Higher Education Disaster Relief Pre-Application Form Att_HEDR 2009 Pre-Application Info Form.doc Form
Att_List of Forms HEDR 2009.doc List of Forms IC Document

Information Collection (IC) Details

IC Title:	HEDR 2009 Pre-Application Form	Agency IC Tracking Number:	3896

Is this a Common Form? No		IC Status: New

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	NA	Higher Education Disaster Relief Pre-Application Form	Att_HEDR 2009 Pre-Application Info Form.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
List of Forms	Att_List of Forms HEDR 2009.doc	11/05/2008

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