Information Collection

Individuals and Households - Respondents

IC 22266 under ICR 201005-1845-003 · OMB 1845-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0041 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1845-0041 Individuals and Households - Respondents	Form and Instruction
1845-0041 Verification worksheet (This is an optional form.) 1845-0041 0708 DEP VERF wksht FINAL.pdf	Form and Instruction
1845-0041 Verification worksheet (This is an optional form.) 1845-0041 0708 INDEP verif wksht final.pdf	Form and Instruction

IC Title:

Individuals and Households - Respondents

Agency IC Tracking Number:

3453

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 668.14 and 668.16

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	1845-0041	Verification worksheet (This is an optional form.)	1845-0041 0708 DEP VERF wksht FINAL.pdf		Yes	No	Printable Only
Form and Instruction	1845-0041	Verification worksheet (This is an optional form.)	1845-0041 0708 INDEP verif wksht final.pdf		Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,030,215

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-3,030,215	3,030,215
Annual IC Time Burden (Hours)	-1,010,072	1,010,072
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.