Information Collection

Annual Report for the State Grant for Assistive Technology Program

IC 21562 under ICR 201710-0985-003 · OMB 0985-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Annual Report for the State Grant for Assistive Technology Program	Form
State Grant for AT APR Instruction Manual.doc	Instruction
1 State Grant AT Annual Progress Report Reporting Form - State Grant for AT Annual Progress Report (APR) Data Instrument - Revised.docx	Form

IC Title:

Annual Report for the State Grant for Assistive Technology Program

Agency IC Tracking Number:

1140.19

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 76

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	1	State Grant AT Annual Progress Report	Reporting Form - State Grant for AT Annual Progress Report (APR) Data Instrument - Revised.docx		Yes	Yes	Fillable Fileable
Instruction			State Grant for AT APR Instruction Manual.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: 56

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	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	4,480	-7,392	11,872
Annual IC Cost Burden (Dollars)	0	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.