Information Collection

Developing Hispanic-Serving Institutions Program Application

IC 22053 under ICR 202002-1840-002 · OMB 1840-0745.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0745 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Developing Hispanic-Serving Institutions Program Application	Form and Instruction
DHSI 2020 Grant application 2.18.20.docx grants.gov	Form and Instruction
DHSI 2020 standard forms.docx Standard Forms	IC Document

IC Title:

Developing Hispanic-Serving Institutions Program Application

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
Form and Instruction	N/A	N/A	DHSI 2020 Grant application 2.18.20.docx	grants.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	50	250
Annual IC Time Burden (Hours)	16,500	2,750	13,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Standard Forms	DHSI 2020 standard forms.docx	02/19/2020

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