Second Chance Pell Instrument

Pell for Students who are Incarcerated Experimental Site Initiative

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0139 can be found here:

Documents and Forms

Document Name Document Type
Second Chance Pell Instrument FINAL.docx Instruction
1845-0139 83C.pdf 1845-0139 - 83C - Change Request IC Document

Information Collection (IC) Details

IC Title:	Second Chance Pell Instrument	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Second Chance Pell Instrument FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	26	11	15
Annual IC Time Burden (Hours)	1,950	825	1,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
1845-0139 - 83C - Change Request	1845-0139 83C.pdf	01/08/2016

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