Consolidate Waiver Request Form

Consolidated Waiver Request Form

Documents and Forms

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

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:

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

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 %

	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

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.