Information Collection

Javits Annual Student Activities Report

IC 22112 under ICR 201404-1840-003 · OMB 1840-0781.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1840-0781 Javits Annual Student Activities Report	Form and Instruction
1840-0781 Javits ASAR and Report and Instructions Javits ASAR Report and Instructions.doc	Form and Instruction

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:

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	1840-0781	Javits ASAR and Report and Instructions	Javits ASAR Report and Instructions.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Javits Fellowship System

FR Citation: 64 FR 30177

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	-90	190
Annual IC Time Burden (Hours)	300	-270	570
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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