Information Collection

Paul Douglas Teacher Scholarship Program Performance Report

IC 22118 under ICR 201202-1840-001 · OMB 1840-0787.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0787 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Paul Douglas Teacher Scholarship Program Performance Report	Form
Att_PD Performance Report-2011-September 2012.xls	Form
Att_PD Performance Report Instructions-2011-September 2011(2) (4).doc Performance Report Instructions	IC Document

IC Title:

Paul Douglas Teacher Scholarship Program Performance Report

Agency IC Tracking Number:

4762

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 653

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	NA	N/A	Att_PD Performance Report-2011-September 2012.xls		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	-27	57
Annual IC Time Burden (Hours)	360	-324	684
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Performance Report Instructions	Att_PD Performance Report Instructions-2011-September 2011(2) (4).doc	02/14/2012

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