Information Collection

Annual State Application Under Part B of IDEA

IC 188619 under ICR 201205-1820-002 · OMB 1820-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1820-0030 (04816) instructionsfinal revised 060112.doc	Instruction
ED Form 9055 Annual State Applicaiton Under Part B of the IDEA 1820-0030 (04816) appfinal revised 060112.doc	Form

IC Title:

Annual State Application Under Part B of IDEA

Agency IC Tracking Number:

04816

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 300.705 34 CFR 300.100-176 34 CFR 300.199 34 CFR 300.640-645

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
Instruction			1820-0030 (04816) instructionsfinal revised 060112.doc		Yes	Yes	Fillable Fileable
Form	ED Form 9055	Annual State Applicaiton Under Part B of the IDEA	1820-0030 (04816) appfinal revised 060112.doc		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: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	0	60
Annual IC Time Burden (Hours)	840	120	720
Annual IC Cost Burden (Dollars)	0	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.