Information Collection

HBCU Scholar Recognition Program Application

IC 214376 under ICR 202012-1894-002 · OMB 1894-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1894-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HBCU Scholar Recognition Program Application	Form
2021 HBCU Scholar Recognition Application 2021 HBCU Scholar Recognition Application Form.docx	Form
2021 HBCU Scholar Recognition Application 2021 HBCU Scholar Recognition Application Form.5-3ejedits.docx	Form
2021 WHIHBCU Student Recognition Description.docx Application Description	IC Document
2021 WHIHBCU Student Recognition Description.docx Application Description	IC Document

IC Title:

HBCU Scholar Recognition Program Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	NA	2021 HBCU Scholar Recognition Application	2021 HBCU Scholar Recognition Application Form.5-3ejedits.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 101

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	202	-101	303
Annual IC Time Burden (Hours)	707	-13	720
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Application Description	2021 WHIHBCU Student Recognition Description.docx	12/09/2020

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