Information Collection

Application for Nebert Award - Public

IC 218572 under ICR 201808-1028-003 · OMB 1028-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0115 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1028-New NebertAwardNomination instrument 2015-12-16.docx	Instruction

IC Title:

Application for Nebert Award - Public

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Instruction			1028-New NebertAwardNomination instrument 2015-12-16.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	50	50
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.