Information Collection

Annual State Application Under Part B of IDEA

IC 188619 under ICR 201707-1820-002 · OMB 1820-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ED9055 Annual State Application Under Part B of IDEA	Form
1820-0030 PartB-instruct2017 110717.doc	Instruction
ED9055 Part B Application 1820-0030 Part B Application Instrument-Final 11-8-17.doc	Form

IC Title:

Annual State Application Under Part B of IDEA

Agency IC Tracking Number:

ED-2017-ICCD-0100

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 300.100-176 34 CFR 300.640-645 34 CFR 300.199 34 CFR 300.647(b)(1)(i) 34 CFR 300.705 34 CFR 300.646(a)(b)

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	ED9055	Part B Application	1820-0030 Part B Application Instrument-Final 11-8-17.doc		Yes	Yes	Fillable Fileable
Instruction			1820-0030 PartB-instruct2017 110717.doc		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: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	840	840
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.