Information Collection

Scholarships for Disadvantaged Students Performance Report Form

IC 209465 under ICR 201612-0915-003 · OMB 0915-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Scholarships for Disadvantaged Students Performance Report Form	Form and Instruction
2 SDSPR OPCCopy of SDS PR FY12 data template part 2 w-o codes.xlsx	Form and Instruction
2b SDSPR guidance OPCSDSPR Guidance FY 2012-13 11-1-2013.doc	Form and Instruction

IC Title:

Scholarships for Disadvantaged Students Performance Report Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	SDSPR	OPCCopy of SDS PR FY12 data template part 2 w-o codes.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	2b	SDSPR guidance	OPCSDSPR Guidance FY 2012-13 11-1-2013.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 99

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-198	198
Annual IC Time Burden (Hours)	-4,752	4,752
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.