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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
HSI application w out forms.doc	Instruction
Standard_Forms[1].docx Standard Forms	IC Document

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.