Information Collection

Consolidated State Application

IC 21256 under ICR 201211-1810-001 · OMB 1810-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0576 can be found here:

Documents and Forms

Document Name Document Type
Consolidated State Application Form and Instruction
Att_Consolidated_9-26-11.doc Form and Instruction
Accountability Addendum for ESEA Flex States Accountability_Addendum_09_11_2012[1].doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consolidated State Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 76

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	N/A	Att_Consolidated_9-26-11.doc		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Accountability Addendum for ESEA Flex States	Accountability_Addendum_09_11_2012[1].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: 30	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	30	30
Annual IC Time Burden (Hours)	2,400	2,400
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.