Information Collection

Application for Public Safety Officers' Educational Assistance

IC 12501 under ICR 201003-1121-004 · OMB 1121-0220.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0220 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Public Safety Officers' Educational Assistance	Form and Instruction
PSOBEA PSOEA APPLICATION FORM.pdf www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf	Form and Instruction

IC Title:

Application for Public Safety Officers' Educational Assistance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	None	PSOBEA	PSOEA APPLICATION FORM.pdf	http://www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 78

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	78	78
Annual IC Time Burden (Hours)	26	26
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.