Information Collection

Form for Maintenance of Effort Waiver Requests

IC 189785 under ICR 202511-1810-002 · OMB 1810-0693.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NA Form for Maintenance of Effort Waiver Requests	Form
Moe_spreadsheet_essa_Template_1 (1) (1).xlsx www.ed.gov/sites/ed/files/2023/07/Moe_spreadsheet_essa_Template_1.xlsx	Form

IC Title:

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	NA			https://www.ed.gov/sites/ed/files/2023/07/Moe_spreadsheet_essa_Template_1.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	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.

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