Information Collection

Written Application for the Independent Living Services for Older Individuals Who are Blind Formula Grant

IC 21689 under ICR 201403-1820-002 · OMB 1820-0660.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0660 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1820-0660 OIB-cover letter 2013.doc	Instruction
OIB State Agency Application 1820-0660 OIB State Agency Application cover ltr FY 2014-2016.docx	Form
OIB Application Assuarances 1820-0660 OIB application assurances-2013.doc	Form and Instruction
1820-0660 Certification against lobbying OB.doc Lobbying Certification	IC Document

IC Title:

Written Application for the Independent Living Services for Older Individuals Who are Blind Formula Grant

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 367

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1820-0660 OIB-cover letter 2013.doc	Yes	Yes	Fillable Fileable
Form	N/A	OIB State Agency Application	1820-0660 OIB State Agency Application cover ltr FY 2014-2016.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	OIB Application Assuarances	1820-0660 OIB application assurances-2013.doc	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Lobbying Certification	1820-0660 Certification against lobbying OB.doc	12/31/2013

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