Information Collection

Higher Education Emergency Relief Fund (HEERF) I, II and III Data Collection Form

IC 242762 under ICR 202212-1840-001 · OMB 1840-0850.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0850 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Higher Education Emergency Relief Fund (HEERF) I, II and III Data Collection Form	Form
HEERF_APR_YR3_clean.docx covid-relief-data.ed.gov/grantee-help/heerf	Form

IC Title:

Higher Education Emergency Relief Fund (HEERF) I, II and III Data Collection Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	N/A	HEERF_APR_YR3_clean.docx	https://covid-relief-data.ed.gov/grantee-help/heerf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,778

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	Previously Approved
Annual Number of Responses for this IC	1,778	1,778
Annual IC Time Burden (Hours)	71,120	71,120
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.