Information Collection

Voluntary Decline of Higher Education Emergency Relief Funds Form

IC 247020 under ICR 202104-1840-010 · OMB 1840-0856.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0856 can be found here:

Documents and Forms

Document Name Document Type
Voluntary Decline of Higher Education Emergency Relief Funds Form Form and Instruction
ARP HEERF III Voluntary Decline of HEERF Form-Final5.10.2021.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Voluntary Decline of Higher Education Emergency Relief Funds Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	ARP HEERF III Voluntary Decline of HEERF Form-Final5.10.2021.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	13	13
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.