Information Collection

Annual State Application For Part C Under the Individuals With Disabilities Education Act Of 2004

IC 189913 under ICR 202309-1820-002 · OMB 1820-0550.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual State Application For Part C Under the Individuals With Disabilities Education Act Of 2004	Form
1820-0550-PartC-Instructions.docx	Instruction
1820-0550-PartC-Instructions.docx	Instruction
1820-0550-PartC-Application.docx	Form
1820-0550-PartC-Application.docx	Form

IC Title:

Agency IC Tracking Number:

ED-2017-ICCD-0099

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	1820-0550-PartC-Application.docx		Yes	No	Paper Only
Instruction			1820-0550-PartC-Instructions.docx		Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	56	56
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.