Information Collection

Jacob K. Javits Fellowship Program Final Performance Report

IC 181771 under ICR 201311-1840-002 · OMB 1840-0752.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1840-0752 Jacob K. Javits Fellowship Program Final Performance Report	Form and Instruction
1840-0752 1840-0752 Javits FPR Form and Instructions 1840-0752 Javits FPR Form and Instructions.xlsx opeweb.ed.gov/javitsapr/codes/Ja_login.cfm	Form and Instruction
1840-0752 Javits FPR PD Ltr.docx 1840-0752 Javits FPR Project Director Letter	IC Document

IC Title:

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:

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	1840-0752	1840-0752 Javits FPR Form and Instructions	1840-0752 Javits FPR Form and Instructions.xlsx	https://opeweb.ed.gov/javitsapr/codes/Ja_login.cfm	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1840-0752 Javits FPR Project Director Letter	1840-0752 Javits FPR PD Ltr.docx	08/14/2013

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