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Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004
Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004
OMB: 1820-0030
IC ID: 188619
OMB.report
ED/OSERS
OMB 1820-0030
ICR 202210-1820-001
IC 188619
( )
Documents and Forms
Document Name
Document Type
Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004
Form
1820-0030-PartB-Instruct2023-9-7-22.docx
Instruction
1820-0030-PartB-Instruct2023-9-7-22.docx
Instruction
Significant Disproportionality Reporting Form
1820-0030-Section V.B. - Significant Disproportionality Form (PDF).pdf
Form
Significant Disproportionality Reporting Form
1820-0030-Section V.B. - Significant Disproportionality Form (PDF).pdf
Form
Application
1820-0030-PartB-App2023-9-7-22.docx
Form
Application
1820-0030-PartB-App2023-9-7-22.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual State Application Under Part B of the Individuals with Disabilities Act as Amended in 2004
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
34 CFR 300.647(b)(1)(i)
34 CFR 300.705
34 CFR 300.640-645
34 CFR 300.646(a)(b)
34 CFR 300.100-176
34 CFR 300.199
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
N/A
Significant Disproportionality Reporting Form
1820-0030-Section V.B. - Significant Disproportionality Form (PDF).pdf
Yes
Yes
Fillable Fileable
Instruction
1820-0030-PartB-Instruct2023-9-7-22.docx
Yes
Yes
Fillable Fileable
Form
N/A
Application
1820-0030-PartB-App2023-9-7-22.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
0
0
0
60
Annual IC Time Burden (Hours)
2,340
0
0
0
0
2,340
Annual IC Cost Burden (Dollars)
0
0
0
0
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.