Part B Form

IDEIA Part B and C Child Count

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0176 can be found here:

Documents and Forms

Document Name Document Type
Form BIE-XXXX (To be as Part B Form Form and Instruction
BIE-XXXX (To be as Part B IDEIA Tribal Count Data Requirements Part B Table 2.17.11 CLEAN VERSION.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Part B Form	Agency IC Tracking Number:

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 and Instruction	BIE-XXXX (To be assigned upon receipt of OMB No.)	Part B IDEIA Tribal Count Data Requirements	Part B Table 2.17.11 CLEAN VERSION.docx		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: 61	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	1,220	1,220
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.