Information Collection

Annual State Application Under Part B of IDEA

IC 188619 under ICR 200903-1820-004 · OMB 1820-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual State Application Under Part B of IDEA	Form
Att_1820-0030 Application Instructions 121808.doc	Instruction
State Application Att_1820-0030 Application 010909 (3).doc	Form

IC Title:

Annual State Application Under Part B of IDEA

Agency IC Tracking Number:

3935

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	State Application	Att_1820-0030 Application 010909 (3).doc		Yes	Yes	Fillable Printable
Instruction			Att_1820-0030 Application Instructions 121808.doc		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	720	720
Annual IC Cost Burden (Dollars)	0	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.