Information Collection

American Schools and Hospitals Abroad (ASHA), Application for Assistance

IC 817 under ICR 200902-0412-002 · OMB 0412-0011.

Documents and Forms

Document Name Document Type
Form 1010-2 American Schools and Hospitals Abroad (ASHA), Application for Assistance Form
1010-2 Application for Assistance AID 1010-2.pdf www.usaid.gov/forms/a1010-2.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	American Schools and Hospitals Abroad (ASHA), Application for Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1010-2	Application for Assistance	AID 1010-2.pdf	http://www.usaid.gov/forms/a1010-2.pdf	Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	85	0	85
Annual IC Time Burden (Hours)	1,020	120	900
Annual IC Cost Burden (Dollars)	20,400	20,400	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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