Information Collection

Application Package for the Jacob K. Javits Fellowship Program

IC 43986 under ICR 200906-1840-004 · OMB 1840-0562.

Documents and Forms

Document Name Document Type
Application Package for the Jacob K. Javits Fellowship Program Form and Instruction
Javits 2010 Application Javits 2010 170 App ATT D Revised 61109.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Package for the Jacob K. Javits Fellowship Program	Agency IC Tracking Number:	4029

Is this a Common Form? No		IC Status: Modified

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 and Instruction	N/A	Javits 2010 Application	Javits 2010 170 App ATT D Revised 61109.doc		No		Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Jacob K. Javits System	FR Citation: 64 FR 30177

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	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.