Prison Education Program Application

Documents and Forms

Document Name Document Type
Prison Education Program Application Form and Instruction
1845-0171 PEP Assurances Certification 2024 (1).pdf eligcert.ed.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Prison Education Program Application	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	N/A	1845-0171 PEP Assurances Certification 2024 (1).pdf	eligcert.ed.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	600	0	100	500
Annual IC Time Burden (Hours)	600	-4,400	0	5,000
Annual IC Cost Burden (Dollars)	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.