Information Collection

Liquidation Extension Request Template

IC 255717 under ICR 202210-1810-003 · OMB 1810-0771.

Documents and Forms

Document Name Document Type
Copy of 1810-0771 Liquidation Extension Request Template.xlsx Other-Liquidation Extension Template
Copy of 1810-0771 Liquidation Extension Request Template.xlsx Other-Liquidation Extension Template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Liquidation Extension Request Template	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
Other-Liquidation Extension Template			Copy of 1810-0771 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 %

	Approved	Previously Approved
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

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