Hispanic-Serviing Institutions Certification Form

Hispanic-Serving Institutions (HSI) Certification Form

Documents and Forms

Document Name Document Type
Form NSF 1715 Hispanic-Serviing Institutions Certification Form Form
Certification for PUI Eligibility.docx Other-Certification of Eligibility
Certification for PUI Eligibility.docx Other-Certification of Eligibility
NSF 1715 HSI Certification Form HSI Certification Form 1715 07-2018.pdf Form
NSF 1715 HSI Certification Form HSI Certification Form 1715 07-2018.pdf Form

Information Collection (IC) Details

IC Title:	Hispanic-Serviing Institutions Certification Form	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	NSF 1715	HSI Certification Form	HSI Certification Form 1715 07-2018.pdf		No		Fillable Printable
Other-Certification of Eligibility			Certification for PUI Eligibility.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 175	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	175	0	175
Annual IC Time Burden (Hours)	6	0	6
Annual IC Cost Burden (Dollars)	1,750	1,750	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.