Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

Annual Performance Report and Certification of Financial Need for the Jacob K. Javits Fellowship Program

Documents and Forms

Document Name Document Type
1840-0630_Screenshot_Login_Page_JKJ_APR.doc opeweb.ed.gov/JAVITSAPR Instruction
1840-0630 1840-0630 Javits APR Form 1840-0630 Javits APR Form.docx opeweb.ed.gov/javitsapr Form
1840-0630 Javits APR Instructions.docx 1840-0630 Javits APR Instructions IC Document
1840-0630 Javits APR Att K Sample.xlsx 1840-0630 Javits APR Att K Sample IC Document
1840-0630 JKJ FAFSA Letter.docx 1840-0630 Javits FAFSA Ltr IC Document
1840-0630 Javits APR PD Ltr.docx 1840-0630 Javits APR Project Director Letter IC Document

Information Collection (IC) Details

IC Title:	Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program	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 650

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1840-0630_Screenshot_Login_Page_JKJ_APR.doc	https://opeweb.ed.gov/JAVITSAPR	Yes	Yes	Fillable Fileable
Form	1840-0630	1840-0630 Javits APR Form	1840-0630 Javits APR Form.docx	https://opeweb.ed.gov/javitsapr	No	No	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	51	-49	100
Annual IC Time Burden (Hours)	204	-196	400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
1840-0630 Javits APR Instructions	1840-0630 Javits APR Instructions.docx	08/14/2013
1840-0630 Javits APR Att K Sample	1840-0630 Javits APR Att K Sample.xlsx	08/14/2013
1840-0630 Javits FAFSA Ltr	1840-0630 JKJ FAFSA Letter.docx	08/14/2013
1840-0630 Javits APR Project Director Letter	1840-0630 Javits APR PD Ltr.docx	08/14/2013

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