Information Collection

Hispanic-Serving Institutions Program Application Guide

IC 22053 under ICR 201310-1840-001 · OMB 1840-0745.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0745 can be found here:

Documents and Forms

Document Name Document Type
HSI application w out forms.doc Instruction
Standard_Forms[1].docx Standard Forms IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hispanic-Serving Institutions Program Application Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 606

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			HSI application w out forms.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	5,500	5,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Standard Forms	Standard_Forms[1].docx	09/30/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.