Information Collection

Annual State Application Under Part B of IDEA

IC 188619 under ICR 201508-1820-001 · OMB 1820-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0030 can be found here:

Documents and Forms

Document Name Document Type
b1820-0030 binstructions2016ombclearance.doc Instruction
ED9055 Annual State 1820-0030 a1820-0030 bapp2016ombclearance.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual State Application Under Part B of IDEA	Agency IC Tracking Number:	2015-ICCD-0084

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 300.640-645 34 CFR 300.705 34 CFR 300.100-176 34 CFR 300.199

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			b1820-0030 binstructions2016ombclearance.doc		Yes	Yes	Fillable Fileable
Form	ED9055	Annual State 1820-0030	a1820-0030 bapp2016ombclearance.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: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	840	840
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.