Grantees: Participant Record Form

Indian Education Professional Development Grants Program: GPRA and Service Payback Data Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0698 can be found here:

Documents and Forms

Document Name Document Type
Grantees: Participant Record Form Form and Instruction
Participant Record Form 1810-0698 2016 OIE PD Grantee Reporting Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Grantees: Participant Record Form	Agency IC Tracking Number:	ED-2016-ICCD-0012

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 263

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Participant Record Form	1810-0698 2016 OIE PD Grantee Reporting Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Indian Education Individual Reporting on Regulatory Compliance Related to the Indian Education Professional Development programs Service Obligation and GPRA	FR Citation: 76 FR 4334

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	46	10	36
Annual IC Time Burden (Hours)	2,024	1,304	720
Annual IC Cost Burden (Dollars)	0	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.