Information Collection Request

Science, Mathematics and Research for Transformation (SMART) Scholarship Program

ICR 201907-0704-007 · OMB 0704-0466 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD-3067-14 DD-3067-14 – SMART Notice of Withdrawal Form and Instruction New Available
Form DD-3067-1 Award Change Requests (DD-3067-1, DD-3067-3, DD-3067-4, DD-3067-8, DD-3067-9, DD-3067-11, DD-3067-13, DD-3067-15) Form and Instruction New Available
Form DD-3067-7 DD-3067-7 – SMART Phase 1 Annual Report Form and Instruction New Available
Form DD-3067-2 SMART Service Agreement/Handbook Packages (DD-3067-2, DD-3067-6, DD-3067-12) Form and Instruction New Repair queued
SMART Program DRAFT PIA_7.29.2019.pdf Supplementary Document Uploaded 2019-07-31 Available
0704-0466_SS-A_7.31.19.DOCX Supporting Statement A Uploaded 2019-07-31 Available
EMAIL Award Notification.docx Supplementary Document Uploaded 2019-07-29 Available
DUSDA 14_20190516.doc Supplementary Document Uploaded 2019-07-29 Available
SMART_SSN Justification Approval Memo_signed.pdf Supplementary Document Uploaded 2019-07-29 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2022 36 Months From Approved 09/30/2019
10,750 0 5,875
129,225 0 30,200
936,882 0 218,950





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Science, Mathematics and Research for Transformation (SMART) Scholarship Program
DD-3067-7 – SMART Phase 1 Annual Report DD-3067-7 Science, Mathematics & Research for Transformation (SMART) Scholarship Phase 1 Annual Report
SMART Service Agreement/Handbook Packages (DD-3067-2, DD-3067-6, DD-3067-12) DD-3067-2, DD-3067-6, DD-3067-12 Science, Mathematics & Research for Transformation (SMART) Scholarship Educational Work Plan ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Participant Information Verification ,   SCIENCE, MATHEMATICS, AND RESEARCH FOR TRANSFORMATION (SMART) SCHOLARSHIP-FOR-SERVICE PROGRAM SERVICE AGREEMENT
Award Change Requests (DD-3067-1, DD-3067-3, DD-3067-4, DD-3067-8, DD-3067-9, DD-3067-11, DD-3067-13, DD-3067-15) DD-3067-8, DD-3067-9, DD-3067-13, DD-3067-15, DD-3067-1, DD-3067-3, DD-3067-4, 3067-11 Science, Mathematics & Research for Transformation (SMART) Scholarship Award Length Change Approval ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Foreign Travel Notification ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Internship Report for Recruitment Participants ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Recruitment Internship Request ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Recruitment Site Visit Request ,   SCIENCE, MATHEMATICS, AND RESEARCH FOR TRANSFORMATION (SMART) SERVICE AGREEMENT AMENDMENT REQUEST ,   SCIENCE, MATHEMATICS, AND RESEARCH FOR TRANSFORMATION (SMART) SERVICE AGREEMENT AMENDMENT REQUEST ,   Science, Mathematics & Research for Transformation (SMART) Scholarship Revised Degree Completion Plan
DD-3067-14 – SMART Notice of Withdrawal DD-3067-14 Science, Mathematics & Research for Transformation (SMART) Scholarship Notice of Withdrawal

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,750 5,875 0 4,875 0 0
Annual Time Burden (Hours) 129,225 30,200 0 99,025 0 0
Annual Cost Burden (Dollars) 936,882 218,950 0 717,932 0 0


Reginfo record details
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