Information Collection

Application Package for the Jacob K. Javits Fellowship Program

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.