Information Collection

SURF Program Student Application Information

IC 217990 under ICR 201810-0693-002 · OMB 0693-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0042 SURF Student Application Form 2018.pdf	Other-Application
SORN NIST-1.pdf SORN NIST-1	IC Document
SURF Privacy Act Statement.docx Privacy Act Statement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Application					No		Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: SORN NIST-1: NIST Associates

FR Citation: 81 FR 21837

Number of Respondents: 650

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	650	650
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SORN NIST-1		10/03/2018
Privacy Act Statement		10/03/2018

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

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