Information Collection

Scholarships for Disadvantaged Students Program Specific Data Forms

IC 256154 under ICR 202209-0906-002 · OMB 0906-0073.

Documents and Forms

Document Name Document Type
Form 2 Scholarships for Disadvantaged Students Program Specific Data Forms Form
2 Scholarships for Disadvantaged Students Program Specific 0915-0149 Approved Instrument 11-26-19.pdf Form
2 Scholarships for Disadvantaged Students Program Specific 0915-0149 Approved Instrument 11-26-19.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Scholarships for Disadvantaged Students Program Specific Data Forms	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
Form	2	Scholarships for Disadvantaged Students Program Specific Data Forms	0915-0149 Approved Instrument 11-26-19.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 323	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	323	323
Annual IC Time Burden (Hours)	10,013	10,013
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.