Information Collection

Application for Impact Aid-Section 8003

IC 186064 under ICR 201311-1810-001 · OMB 1810-0687.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0687 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1810-0687 Application for Impact Aid-Section 8003	Form and Instruction
FY 2014 IC Sec 8003 Appl Instructions.docx www.g5.gov	Instruction
1810-0687 Housing Offical Certification Form Housing Certification Form.pdf	Form and Instruction
1810-0687 HOUSING UNDERGOING RENOVATION OR REBUILDING HOUSING OFFI HOUSING UNDERGOING RENOVATION OR REBUILDING- CONTACT INFORMATION FORM.docx www.g5.gov	Form and Instruction
1810-0687 Section 8003 Application for Impact Aid Blank Application.pdf www.g5.gov	Form
impactaidleg.doc Impact Aid Statute	IC Document

IC Title:

Application for Impact Aid-Section 8003

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 222

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 and Instruction	1810-0687	Housing Offical Certification Form	Housing Certification Form.pdf		Yes	Yes	Paper Only
Form and Instruction	1810-0687	HOUSING UNDERGOING RENOVATION OR REBUILDING HOUSING OFFICIAL CONTACT INFORMATION	HOUSING UNDERGOING RENOVATION OR REBUILDING- CONTACT INFORMATION FORM.docx	www.g5.gov	Yes	Yes	Fillable Fileable
Form	1810-0687	Section 8003 Application for Impact Aid	Blank Application.pdf	www.g5.gov	Yes	Yes	Fillable Fileable
Instruction			FY 2014 IC Sec 8003 Appl Instructions.docx	www.g5.gov	Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 501,264

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	501,264	0	0	-575	501,839
Annual IC Time Burden (Hours)	140,676	-190	-2,076	0	142,942
Annual IC Cost Burden (Dollars)	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Impact Aid Statute	impactaidleg.doc	08/21/2013

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