Information Collection

Louis Stokes Alliances for Minority Participation Bridget to the Doctorate (LSAMP-BD) Monitoring System

IC 220094 under ICR 202207-3145-002 · OMB 3145-0226.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AttachmentC1_2022 LSAMP-BD.docx	Other-Monitoring Collection
AttachmentC1_2022 LSAMP-BD.docx	Other-Monitoring Collection
AttachmentC2_2022 LSAMP-BD.pdf	Other-Monitoring Collection - screen
AttachmentC2_2022 LSAMP-BD.pdf	Other-Monitoring Collection - screen
AttachmentC2_2022 LSAMP-BD.pdf LSAMP-BD Screenshots	IC Document
AttachmentC2_2022 LSAMP-BD.pdf LSAMP-BD Screenshots	IC Document

IC Title:

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
Other-Monitoring Collection			AttachmentC1_2022 LSAMP-BD.docx		Yes	Yes	Fillable Fileable
Other-Monitoring Collection - screenshots			AttachmentC2_2022 LSAMP-BD.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

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	Previously Approved
Annual Number of Responses for this IC	53	-3	56
Annual IC Time Burden (Hours)	530	-478	1,008
Annual IC Cost Burden (Dollars)	28,090	-18,278	46,368

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
LSAMP-BD Screenshots	AttachmentC2_2022 LSAMP-BD.pdf	07/26/2022

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