Information Collection Request

Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004

ICR 202210-1820-001 · OMB 1820-0030 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Application Form Modified Available
Significant Disproportionality Reporting Form Form Modified Available
Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004 Form Modified Repair queued
1820-0030-Supporting-Statement-Part-A_12.15.22.docx Supporting Statement A Uploaded 2022-12-16 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2026 36 Months From Approved 01/31/2023
60 0 60
2,340 0 2,340
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004 N/A, N/A ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 60 60 0 0 0 0
Annual Time Burden (Hours) 2,340 2,340 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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