Information Collection

Out-of-School Time Career Pathway Program

IC 242070 under ICR 202008-1894-001 · OMB 1894-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1894-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Out-of-School Time Career Pathway Program	Form and Instruction
21st CCLC_AppPack_060120.docx	Form and Instruction
83C Form_1894-0006_21stCCLC.pdf Change Worksheet	IC Document
OESE FY 20 NIA 21stCCLC_060120.docx Draft NIA	IC Document
assurances checklist for 21st CCLC_060120.docx Assurances checklist	IC Document

IC Title:

Out-of-School Time Career Pathway Program

Agency IC Tracking Number:

IC Status: Unchanged

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	21st CCLC_AppPack_060120.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: 15

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
	Requested	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Change Worksheet	83C Form_1894-0006_21stCCLC.pdf	06/02/2020
Draft NIA	OESE FY 20 NIA 21stCCLC_060120.docx	06/02/2020
Assurances checklist	assurances checklist for 21st CCLC_060120.docx	06/02/2020

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