Annual State Application For Part C Under the Individuals With Disabilities Education Act Of 2004

Annual State Application Under Part C of the Individuals with Disabilities Education Act As Amended in 2004 For Federal Fiscal Year (FFY) 2021

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0550 can be found here:

Documents and Forms

Document Name Document Type
Annual State Application For Part C Under the Individuals With Disabilities Education Act Of 2004 Form
1820-0550 partc-instruct 06-26-20 FINAL.docx Instruction
1820-0550 PartC-app2021 06-26-20 FINAL (002).docx Form

Information Collection (IC) Details

IC Title:	Annual State Application For Part C Under the Individuals With Disabilities Education Act Of 2004	Agency IC Tracking Number:	ED-2017-ICCD-0099

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1820-0550 partc-instruct 06-26-20 FINAL.docx		Yes	Yes	Fillable Fileable
Form	N/A	N/A	1820-0550 PartC-app2021 06-26-20 FINAL (002).docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.