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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.