PBI Application FY 2010

Application for Grants Under the Predominantly Black Institutions Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0812 can be found here:

Documents and Forms

Document Name Document Type
PBI Application FY 2010 Form
PBI Application 020510.doc http://[email protected] Form
Att_Standard Forms.doc Standard Forms IC Document

Information Collection (IC) Details

IC Title:	PBI Application FY 2010	Agency IC Tracking Number:	4160

Is this a Common Form? No		IC Status: New

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	N/A	N/A	PBI Application 020510.doc	http://[email protected]	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Standard Forms	Att_Standard Forms.doc	02/08/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.