Information Collection

Application for Public Safety Officers' Educational Assistance

IC 12501 under ICR 202401-1121-004 · OMB 1121-0220.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Education.xlsx	Other-questions
Education.xlsx	Other-questions
education with required docs.xlsx	Other-questions
education with required docs.xlsx	Other-questions

IC Title:

Agency IC Tracking Number:

BJA

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
Other-questions			Education.xlsx	n/a	Yes	Yes	Fillable Fileable
Other-questions			education with required docs.xlsx	n/a	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	100	200
Annual IC Time Burden (Hours)	150	50	100
Annual IC Cost Burden (Dollars)	0	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.