Application for Department of Defense Impact Aid for Children with Severe Disabilities

Application for Department of Defense Impact Aid for Children with Severe Disabilities

OMB: 0704-0425

IC ID: 5521

Information Collection (IC) Details

View Information Collection (IC)

Application for Department of Defense Impact Aid for Children with Severe Disabilities
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Secretary of Defense Form 816 Application for Department of Defense Impact Aid for Children with Severe Disabilities sd0816.pdf Yes Yes Fillable Fileable
Form Secretary of Defense Form 816-C Application for Department of Defense Impact Aid for Children with Severe Disabilities (Continuation Page) sd0816c.pdf Yes Yes Fillable Fileable
Other-Guidelines Guidelines.pdf No   Paper Only

Defense and National Security Operational Defense

 

50 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 0 0 50 0
Annual IC Time Burden (Hours) 400 0 0 0 400 0
Annual IC Cost Burden (Dollars) 95,900 0 0 84,188 11,712 0

Title Document Date Uploaded
Letter to Superintendent Letter to Superintendent.pdf 03/10/2011
Guidelines Guidelines.pdf 03/10/2011
Finance Data Finance Data.pdf 03/10/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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