Information Collection

Application for Grants Under the Predominantly Black Institutions Formula Grant Program

IC 191984 under ICR 202009-1840-004 · OMB 1840-0812.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0812 can be found here:

Documents and Forms

Document Name Document Type
Application for Grants Under the Predominantly Black Institutions Formula Grant Program Form and Instruction
PBI Formula Application 9.9.20.docx Form and Instruction
PBI Formula Application 9.9.20.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Grants Under the Predominantly Black Institutions Formula Grant Program	Agency IC Tracking Number:

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
Form and Instruction	N/A	N/A	PBI Formula Application 9.9.20.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	220	220
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.