Information Collection

USDA/HSI Scholars Program Applications

IC 227913 under ICR 201708-0503-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
usda-hsi-scholars-app-high-school-v7.pdf	Other-Application
usda-hsi-scholars-app-college-v10.pdf	Other-Application
2017 USDA HSI Service Agreement Final.docx Fellow Experience Program/Service Agreement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Application			usda-hsi-scholars-app-high-school-v7.pdf		Yes	No	Fillable Printable
Other-Application			usda-hsi-scholars-app-college-v10.pdf		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fellow Experience Program/Service Agreement	2017 USDA HSI Service Agreement Final.docx	08/15/2017

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