Information Collection

Subpart E Verfication: State, Local, or Tribal

IC 193303 under ICR 201202-1845-001 · OMB 1845-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0041 can be found here:

Documents and Forms

Document Name Document Type
12-13 Verif Wksht-Dep-Feb 2.pdf Other-Sample Model
12-13 Verif Wksht-Ind-Feb 2.pdf Other-Sample Model

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Subpart E Verfication: State, Local, or Tribal	Agency IC Tracking Number:	4427

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 668.57 34 CFR 668.55 34 CFR 668.59

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Model			12-13 Verif Wksht-Ind-Feb 2.pdf		No		Paper Only
Other-Sample Model			12-13 Verif Wksht-Dep-Feb 2.pdf		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,568	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,915,709	7,915,709
Annual IC Time Burden (Hours)	975,411	975,411
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.