Information Collection

Dr. Nancy Foster Scholarship Program Application Form and transcripts

IC 4504 under ICR 201710-0648-008 · OMB 0648-0432.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0432 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Dr. Nancy Foster Scholarship Program Application Form and transcripts	Form
NOAA-NOS-ONMS-2017-2005070 FFO Report (5).pdf	Instruction
Declaration statement declaration_statement.pdf	Form

IC Title:

Dr. Nancy Foster Scholarship Program Application Form and transcripts

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	NA	Declaration statement	declaration_statement.pdf		Yes	Yes	Fillable Fileable
Instruction			NOAA-NOS-ONMS-2017-2005070 FFO Report (5).pdf		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	4,000	4,000

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.