Information Collection

Liquidation Extension Request Template

IC 255717 under ICR 202208-1810-003 · OMB 1810-0771.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0771 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Liquidation Extension Request Template.xlsx	Other-Liquidation Extension Template

IC Title:

Liquidation Extension Request Template

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Liquidation Extension Template			Liquidation Extension Request Template.xlsx		No		Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	104	104
Annual IC Time Burden (Hours)	2,080	2,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.