Information Collection

Out-of-School Time Career Pathway Program

IC 242070 under ICR 201708-1894-001 · OMB 1894-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1894-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
N/A Out-of-School Time Career Pathway Program	Form and Instruction
21st CCLC_AppPack_060120.docx	Form and Instruction
83C Form_1894-0006_21stCCLC.pdf Change Worksheet	IC Document
OESE FY 20 NIA 21stCCLC_060120.docx Draft NIA	IC Document
assurances checklist for 21st CCLC_060120.docx Assurances checklist	IC Document

IC Title:

Out-of-School Time Career Pathway Program

Agency IC Tracking Number:

IC Status: New

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	N/A	N/A	21st CCLC_AppPack_060120.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: 15

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Change Worksheet	83C Form_1894-0006_21stCCLC.pdf	06/02/2020
Draft NIA	OESE FY 20 NIA 21stCCLC_060120.docx	06/02/2020
Assurances checklist	assurances checklist for 21st CCLC_060120.docx	06/02/2020

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