Information Collection

Minorities and Retirement Security (MRS) Program

IC 205285 under ICR 201109-1894-001 · OMB 1894-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1894-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1894-0006 Minorities and Retirement Security (MRS) Program	Form and Instruction
1894-0006 Application Booklet for MRS Program Revised MRS Application Booklet 1-4-13.docx	Form and Instruction
MRS Program NIA 12-18-12.docx ED-approved NIA for MRS Program	IC Document
83C--change worksheet (2).docx OMB83 Worksheet	IC Document

IC Title:

Minorities and Retirement Security (MRS) Program

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 1110 (a) of USC 1310 (a)

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	1894-0006	Application Booklet for MRS Program	Revised MRS Application Booklet 1-4-13.docx		Yes	Yes	Printable Only

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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	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	40	0	0	0	0	0
Annual IC Time Burden (Hours)	1,400	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ED-approved NIA for MRS Program	MRS Program NIA 12-18-12.docx	01/08/2013
OMB83 Worksheet	83C--change worksheet (2).docx	01/08/2013

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