Information Collection

HSAC Consent Form and Letters

IC 188896 under ICR 200904-1850-004 · OMB 1850-0866.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0866 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HSAC Consent Form and Letters	Form
HSAC Consent Form and Letters Appendix C - HSAC Consent Form and Letters.pdf	Form

IC Title:

HSAC Consent Form and Letters

Agency IC Tracking Number:

3950

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	HSAC Consent Form and Letters	Appendix C - HSAC Consent Form and Letters.pdf		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	18,000	18,000
Annual IC Time Burden (Hours)	1,500	1,500
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.