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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.