Information Collection

Consolidate Waiver Request Form

IC 243124 under ICR 202008-1076-001 · OMB 1076-0194.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consolidate Waiver Request Form	Form and Instruction
Consolidated Waiver Request Form EDITED BIE waiver request form-emergency collection request.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Consolidate Waiver Request Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR §39.214 25 CFR 1.2 25 CFR §§36.20-24 25 CFR §36.43 25 CFR §§36.32(a) and (b) 25 CFR §36.31(c) 25 CFR §36.50 25 CFR §§39.710-711 25 CFR §§39.216-221 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	Consolidated Waiver Request Form	EDITED BIE waiver request form-emergency collection request.docx		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 183

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	183	183
Annual IC Time Burden (Hours)	183	183
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.