Information Collection

Annual Performance Report Form under the Paul Douglas Teacher Scholarship Program

IC 22118 under ICR 201506-1840-003 · OMB 1840-0787.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0787 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Performance Report Form under the Paul Douglas Teacher Scholarship Program	Form and Instruction
Paul Douglas Teacher Scholarship Program Paul Douglas Performance Report.pdf	Form and Instruction

IC Title:

Annual Performance Report Form under the Paul Douglas Teacher Scholarship Program

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	NA	Paul Douglas Teacher Scholarship Program	Paul Douglas Performance Report.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	180	180
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.