Information Collection

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

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.