Information Collection

Annual Report for the State Grant for Assistive Technology Program

IC 21562 under ICR 201505-0985-002 · OMB 0985-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Control 1820-0 Annual Report for the State Grant for Assistive Technology Program	Form
Control 14-003232-RSA 1820-0572 IC Instruction Manual.doc rsa.ed.gov	Instruction
OMB Control 1820-0 Annual Performance Report Control 14-003232-State AT Data Instrument Revisions 2014.doc rsa.ed.gov	Form

IC Title:

Annual Report for the State Grant for Assistive Technology Program

Agency IC Tracking Number:

1140.19

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	OMB Control 1820-0572	Annual Performance Report	Control 14-003232-State AT Data Instrument Revisions 2014.doc	rsa.ed.gov	Yes	Yes	Fillable Fileable
Instruction			Control 14-003232-RSA 1820-0572 IC Instruction Manual.doc	rsa.ed.gov	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	11,872	-224	12,096
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.