Information Collection

Second Chance Pell Instrument

IC 218115 under ICR 201905-1845-004 · OMB 1845-0139.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Second Chance Pell Instrument 2019.docx	Instruction
1845-0139 83C.pdf 1845-0139 83C - Change Request	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
Instruction			Second Chance Pell Instrument 2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	3	3
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1845-0139 83C - Change Request	1845-0139 83C.pdf	01/08/2016

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