Information Collection

FLO Professional Development Fellowship (PDF) Application

IC 229600 under ICR 202406-1405-003 · OMB 1405-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0229 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4297 FLO Professional Development Fellowship (PDF) Application	Form and Instruction
DS-4297 Professional Development Fellowship Application ds4297 - PDF Application form- 02-07-2024.pdf	Form and Instruction
DS-4297 Professional Development Fellowship Application ds4297 - PDF Application form- 02-07-2024.pdf	Form and Instruction

IC Title:

FLO Professional Development Fellowship (PDF) Application

Agency IC Tracking Number:

Is this a Common Form? Yes

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 and Instruction	DS-4297	Professional Development Fellowship Application	ds4297 - PDF Application form- 02-07-2024.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: STATE-31, Human Resources Records

FR Citation: 78 FR 43258

Number of Respondents: 265

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	265	5	260
Annual IC Time Burden (Hours)	729	14	715
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.