Information Collection

Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

IC 181775 under ICR 201009-1840-002 · OMB 1840-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0630 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1840-0630 Screenshot Login Page JKJ APR.doc opeweb.ed.gov/JAVITSAPR	Instruction
ED 40-1304 Jacob K. Javits Fellowship Program APR and Financial Nee 1840-0630 JKJ APR Form.doc opeweb.ed.gov/JAVITSAPR	Form
1840-0630 JKJ APR Instruc.doc Jacob K. Javits APR Instructions	IC Document
1840-0630 JKJ NCC Coord Ltr Sup 1.doc Jacob K. Javits Project Director Letter	IC Document
1840-0630 Sample JKJ NCC by Inst and Cohort.xls Jacob K. Javits Sample	IC Document
1840-0630 JKJ FAFSA Letter Sup 4.doc Jacob K. Javits FAFSA Letter	IC Document

IC Title:

Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

Agency IC Tracking Number:

04358

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 650

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
Instruction			1840-0630 Screenshot Login Page JKJ APR.doc	https://opeweb.ed.gov/JAVITSAPR	Yes	Yes	Fillable Fileable
Form	ED 40-1304	Jacob K. Javits Fellowship Program APR and Financial Need and Certification Report	1840-0630 JKJ APR Form.doc	https://opeweb.ed.gov/JAVITSAPR	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Jacob K. Javits APR Instructions	1840-0630 JKJ APR Instruc.doc	09/27/2010
Jacob K. Javits Project Director Letter	1840-0630 JKJ NCC Coord Ltr Sup 1.doc	09/27/2010
Jacob K. Javits Sample	1840-0630 Sample JKJ NCC by Inst and Cohort.xls	09/27/2010
Jacob K. Javits FAFSA Letter	1840-0630 JKJ FAFSA Letter Sup 4.doc	09/27/2010

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