Information Collection

Prison Education Program Application

IC 258633 under ICR 202411-1845-001 · OMB 1845-0171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0171 can be found here:

Documents and Forms

Documents and forms in this information collection
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
1845-0171 PEP Assurances Certification 2024 (1).pdf eligcert.ed.gov	Form and Instruction

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:

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	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 %

table that charts list of burden
	Approved	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

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.