Information Collection

FLO Professional Development Fellowship (PDF) Application Form

IC 229499 under ICR 201712-1405-005 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4297 FLO Professional Development Fellowship (PDF) Application Form	Form
Professional Development Fellowship Application Instructions.pdf	Instruction
DS-4297 FLO Professional Development Fellowship (PDF) Applicatio DS-4297 - FLO PDF App - DRAFT - 11-29-2017 - Fillable.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	DS-4297	FLO Professional Development Fellowship (PDF) Application Form	DS-4297 - FLO PDF App - DRAFT - 11-29-2017 - Fillable.pdf		Yes	Yes	Fillable Fileable
Instruction			Professional Development Fellowship Application Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: STATE-31, Human Resources Records

FR Citation: 78 FR 43258

Number of Respondents: 260

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	260	260
Annual IC Time Burden (Hours)	715	715
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.