Information Collection

Consolidated State Application

IC 21256 under ICR 201411-1810-001 · OMB 1810-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0576 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consolidated State Application	Form and Instruction
Consolidated State Application 1810-0576 Consolidated Application.doc	Form and Instruction
ESEA Flex Addendum 1810-0576 ESEA Flex Accountability_Addendum.doc	Form and Instruction

IC Title:

Consolidated State Application

Agency IC Tracking Number:

0122

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 76

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	NA	Consolidated State Application	1810-0576 Consolidated Application.doc		Yes	Yes	Fillable Fileable
Form and Instruction	NA	ESEA Flex Addendum	1810-0576 ESEA Flex Accountability_Addendum.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: 30

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	30	30
Annual IC Time Burden (Hours)	2,400	2,400
Annual IC Cost Burden (Dollars)	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.