Information Collection

DC School Choice Incentive Program

IC 22597 under ICR 201710-1855-001 · OMB 1855-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1855-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DC School Choice Incentive Program	Form and Instruction
DC Choice Application 1855-0015 Application Form (2018-19) (English).pdf	Form and Instruction

IC Title:

DC School Choice Incentive Program

Agency IC Tracking Number:

ED-2017-ICCD-0132

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 225

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	NA	DC Choice Application	1855-0015 Application Form (2018-19) (English).pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: DC Choice Program Evaluation

FR Citation: 69 FR 22015

Number of Respondents: 3,000

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	3,000	3,000
Annual IC Time Burden (Hours)	1,000	1,000
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.