Public Safety Officers' Death Benefits Application

Application for Public Safety Officers' Educational Assistance

OMB: 1121-0220

IC ID: 227411

Documents and Forms
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Document Type
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Information Collection (IC) Details

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Public Safety Officers' Death Benefits Application BJA
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-questions death part A.xlsx n/a Yes Yes Fillable Fileable
Other-questions that require documents Death part A with required docs.xlsx n/a Yes Yes Fillable Fileable
Other-questions death part B.xlsx n/a Yes Yes Fillable Fileable
Other-questions that require documents Death part B with required docs.xlsx n/a Yes Yes Fillable Fileable

Education Higher Education

 

350 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 350 0 350 0 0 0
Annual IC Time Burden (Hours) 2,100 0 2,100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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