Information Collection

Consolidated State Plan

IC 21256 under ICR 201611-1810-002 · OMB 1810-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0576 can be found here:

Documents and Forms

Document Name Document Type
Consolidated State plan Reg Burden Table.doc Other-Regulatory Table
ESSA State Plan Template ESSA state plan template 11.22.16 CLEAN.docx Form
State Plan Assurances Template State Plan Assurances Template - clean.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consolidated State Plan	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 200.8-200.9 34 CFR 299.13-200.19 34 CFR 200.2-200.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Regulatory Table			Consolidated State plan Reg Burden Table.doc	Yes	Yes	Fillable Fileable
Form	N/A	ESSA State Plan Template	ESSA state plan template 11.22.16 CLEAN.docx	Yes	Yes	Fillable Fileable
Form	N/A	State Plan Assurances Template	State Plan Assurances Template - clean.docx	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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	52	22	30
Annual IC Time Burden (Hours)	113,395	110,995	2,400
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.