Information Collection

Example Application for Emergency Assistance to Non-Public Schools Program

IC 245341 under ICR 202101-1810-003 · OMB 1810-0751.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0751 can be found here:

Documents and Forms

Document Name Document Type
Sample application template from SEA to non-public schools_1-13-21.docx Other-template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Example Application for Emergency Assistance to Non-Public Schools Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-template			Sample application template from SEA to non-public schools_1-13-21.docx		No		Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	40,000	40,000
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.