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Consolidated State Application
Consolidated State Application
OMB: 1810-0576
IC ID: 21256
OMB.report
ED/OESE
OMB 1810-0576
ICR 201605-1810-008
IC 21256
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0576 can be found here:
2023-10-18 - Extension without change of a currently approved collection
2020-07-17 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Consolidated State Application
Form and Instruction
State Plan Assuarances Template
State Plan Assurances Template - Final.docx
Form and Instruction
ESSA State Plan Template
ESSA state plan template 5.25.16.docx
Form and Instruction
assessguid15.pdf
Assessment Peer Review guidance
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Consolidated State Application
Agency IC Tracking Number:
1810-AB27
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
34 CFR 299.13-19
34 CFR 200.2-6
34 CFR 200.8-9
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
State Plan Assuarances Template
State Plan Assurances Template - Final.docx
Yes
Yes
Fillable Fileable
Form and Instruction
NA
ESSA State Plan Template
ESSA state plan template 5.25.16.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
52
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
52
22
0
0
0
30
Annual IC Time Burden (Hours)
117,373
114,973
0
0
0
2,400
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Assessment Peer Review guidance
assessguid15.pdf
05/31/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.