Information Collection

American Indians with Disabilities Selection Criteria & Statue 84.250

IC 192615 under ICR 201004-1820-003 · OMB 1820-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
84 250 AIVRS.doc	Other-null
Att_OMB.84.250.INDIANS.9.doc Statue American Indians with Disabilities	IC Document

IC Title:

American Indians with Disabilities Selection Criteria & Statue 84.250

Agency IC Tracking Number:

4245

Is this a Common Form? No

IC Status: New

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
Other-null			84 250 AIVRS.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Statue American Indians with Disabilities	Att_OMB.84.250.INDIANS.9.doc	04/19/2010

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