Information Collection

Impact Aid Program Application for Section 8002 Assistance

IC 21224 under ICR 201201-1810-005 · OMB 1810-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0036 can be found here:

Documents and Forms

Document Name Document Type
Impact Aid Program Application for Section 8002 Assistance Form
1810-0036 (04726) Sec 8002 FY 2013 G5 Instructions.docx www.g5.gov Instruction
Section 8002 Application 1810-0036 (04726) Section8002Application.pdf www.g5.gov Form
Section 8002 Table 1 Worksheet 1810-0036 (04726) Sec 8002 FY 2013 Table 1 Worksheet Template.xls www.g5.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Impact Aid Program Application for Section 8002 Assistance	Agency IC Tracking Number:	04726

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 222, Subpart B (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Section 8002 Application	1810-0036 (04726) Section8002Application.pdf	www.g5.gov	Yes	Yes	Fillable Fileable
Form	N/A	Section 8002 Table 1 Worksheet	1810-0036 (04726) Sec 8002 FY 2013 Table 1 Worksheet Template.xls	www.g5.gov	Yes	Yes	Fillable Fileable
Instruction			1810-0036 (04726) Sec 8002 FY 2013 G5 Instructions.docx	www.g5.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	1,625	1,625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.