Information Collection

Community College HIT Consortium Application Form

IC 191376 under ICR 200911-0990-001 · OMB 0990-0350.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Community College HIT Consortium Application Form	Form and Instruction
1 Community College HIT Consortium Application Form Community College HIT Consortium Application Form ver1.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form?

IC Status: New

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 and Instruction	1	Community College HIT Consortium Application Form	Community College HIT Consortium Application Form ver1.doc		Yes	Yes	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	22,750	22,750
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.