Information Collection

CARES Act, Recipient's Funding Certification and Agreements SIP+MSI+FIPSE

IC 241615 under ICR 202004-1840-004 · OMB 1840-0843.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0843 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Certification and Agreement for Funds under 18004(a)(2) Final 04.29.2020.docx [email protected]	Other-Certification and Agreement
Certification and Agreement for Funds under 18004(a)(3) Final 04.29.2020.docx [email protected]	Other-Certification and Agreement

IC Title:

CARES Act, Recipient's Funding Certification and Agreements SIP+MSI+FIPSE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Certification and Agreement			Certification and Agreement for Funds under 18004(a)(2) Final 04.29.2020.docx	[email protected]	Yes	Yes	Fillable Fileable
Other-Certification and Agreement			Certification and Agreement for Funds under 18004(a)(3) Final 04.29.2020.docx	[email protected]	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,428

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	2,856	2,856
Annual IC Time Burden (Hours)	1,428	1,428
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.