Information Collection

Application for Emergency Impact Aid for Displaced Students and Homeless Children and Youths

IC 230940 under ICR 201804-1810-002 · OMB 1810-0735.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Emergency Impact Aid for Displaced Students and Homeless Children and Youths	Form and Instruction
1810-New Recovery programs cover letter_final OSHS.docx	Other-Application Cover Letter
APPLICATION FOR ASSISTANCE FOR HOMELESS CHILDREN AND YOU 1810-New Homeless Program SEA App_draft_3.15.2018.docx	Form and Instruction
ELEMENTARY AND SECONDARY EDUCATION 2018 APPLICATION FOR 1810-New SEA EIA Displaced Students App_draft_4.2.2018.docx	Form and Instruction
1810-New Displaced Students Non Public Certification_draft_3.19.2018.docx CERTIFICATION BY NON PUBLIC SCHOOLS FOR 2018 TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	IC Document
1810-New Displaced Students Non Public Parent App_draft_3.19.2018.docx APPLICATION BY PARENT OR GUARDIAN FOR TEMP EMERGENCY IMPACT AID DISPLACED BY HURRICANES AND CALIFORNIA WILDFIRES ATTENDING A NON	IC Document
1810-New EIA- BIE Displaced Student App_draft_4.3.2018.docx APPLICATION BY BUREAU OF INDIAN EDUCATION FUNDED SCHOOLS FOR TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	IC Document
1810-New LEA EIA Displaced Students App_draft_4.2.2018.docx APPLICATION BY LOCAL EDUCATIONAL AGENCIES FOR TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	IC Document

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	APPLICATION FOR ASSISTANCE FOR HOMELESS CHILDREN AND YOUTH	1810-New Homeless Program SEA App_draft_3.15.2018.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	ELEMENTARY AND SECONDARY EDUCATION 2018 APPLICATION FOR TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	1810-New SEA EIA Displaced Students App_draft_4.2.2018.docx	Yes	Yes	Fillable Fileable
Other-Application Cover Letter			1810-New Recovery programs cover letter_final OSHS.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: 112

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	112	112
Annual IC Time Burden (Hours)	4,480	4,480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CERTIFICATION BY NON PUBLIC SCHOOLS FOR 2018 TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	1810-New Displaced Students Non Public Certification_draft_3.19.2018.docx	04/04/2018
APPLICATION BY PARENT OR GUARDIAN FOR TEMP EMERGENCY IMPACT AID DISPLACED BY HURRICANES AND CALIFORNIA WILDFIRES ATTENDING A NON PUBLIC SCHOOLS	1810-New Displaced Students Non Public Parent App_draft_3.19.2018.docx	04/04/2018
APPLICATION BY BUREAU OF INDIAN EDUCATION FUNDED SCHOOLS FOR TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	1810-New EIA- BIE Displaced Student App_draft_4.3.2018.docx	04/04/2018
APPLICATION BY LOCAL EDUCATIONAL AGENCIES FOR TEMPORARY EMERGENCY IMPACT AID FOR DISPLACED STUDENTS	1810-New LEA EIA Displaced Students App_draft_4.2.2018.docx	04/04/2018

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