Information Collection

State, Local or Tribal Governments

IC 194955 under ICR 201308-1845-001 · OMB 1845-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0107 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State, Local or Tribal Governments	Form
Gainful Employmetn Disclosure Template Input Form Gainful Employment Disclosure Template Input Form 8 16 13 final.docx	Form

IC Title:

State, Local or Tribal Governments

Agency IC Tracking Number:

4425

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 668.6(a), (b)

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	N/A	Gainful Employmetn Disclosure Template Input Form	Gainful Employment Disclosure Template Input Form 8 16 13 final.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,205,382

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,205,382	6,205,382
Annual IC Time Burden (Hours)	253,557	253,557
Annual IC Cost Burden (Dollars)	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.