Application for Public Safety Officers' Educational Assistance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0220 can be found here:

Documents and Forms

Document Name Document Type
Form OJP form 1240 Application for Public Safety Officers' Educational Assistance Form and Instruction
OJP form 1240 PSOBEA PSOEA APPLICATION FORM.pdf www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Public Safety Officers' Educational Assistance	Agency IC Tracking Number:	BJA

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OJP form 1240	PSOBEA	PSOEA APPLICATION FORM.pdf	http://www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	150	72	78
Annual IC Time Burden (Hours)	50	24	26
Annual IC Cost Burden (Dollars)	0	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.