Information Collection

Predominantly Black Institutions Program Profile Sheet

IC 183702 under ICR 201103-1840-005 · OMB 1840-0797.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0797 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Predominantly Black Institutions Program Profile Sheet	Form and Instruction
PBI Program Profile 1840-0797 Application 03 15 11.doc www.grants.gov	Form and Instruction
Grant Forms.pdf Standard Forms and Instructions	IC Document

IC Title:

Predominantly Black Institutions Program Profile Sheet

Agency IC Tracking Number:

04481

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	N/A	PBI Program Profile	1840-0797 Application 03 15 11.doc	www.grants.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40	-90	130
Annual IC Time Burden (Hours)	1,400	-3,150	4,550
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Standard Forms and Instructions	Grant Forms.pdf	04/13/2011

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