OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Public Safety Officers' Educational Assistance

OMB 1121-0220 · DOJ/OJP.

OMB 1121-0220

The agency requires the information requested on this application to determine if individuals are eligible to receive educational assistance through the Public Safety Officers' Educational Assistance (PSOEA) Program, as established by the PSOEA Act of 1998 (P.L. 104-238). Respondents who complete the application may be spouses or eligible children of public safety officers who were killed or permanently and totally disabled in the line of duty.

The latest form for Application for Public Safety Officers' Educational Assistance expires 2027-04-30 and is listed under ICR 202401-1121-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Supporting Statement 2 - PSOB Program.docxSupporting Statement A
PSOB_LEGISLATION.pdf Supplementary Document
Public Safety Officers' Appeal Request Application Other-questions
Public Safety Officers' Disability Beneftis Application Other-questions
Public Safety Officers' Death Benefits Application Other-questions
Application for Public Safety Officers' Educational Assistance Other-questions

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202401-1121-004 Revision of a currently approved collection 2024-01-31 Approved without change
202010-1121-003 Extension without change of a currently approved collection 2020-10-30 Approved without change
201707-1121-002 Revision of a currently approved collection 2017-08-30 Approved without change
201701-1121-001 Extension without change of a currently approved collection 2017-01-31 Approved without change
201307-1121-001 Reinstatement without change of a previously approved collection 2013-09-17 Approved without change
201003-1121-004 Extension without change of a currently approved collection 2010-03-24 Approved without change
200610-1121-001 Revision of a currently approved collection 2007-01-18 Approved with change
200401-1121-001 Extension without change of a currently approved collection 2004-01-07 Approved without change
200310-1121-002 Reinstatement with change of a previously approved collection 2003-10-14 Approved without change
199903-1121-004 Reinstatement without change of a previously approved collection 1999-03-17 Approved without change
199707-1121-001 New collection (Request for a new OMB Control Number) 1997-07-03 Approved without change

OMB Details

Application for Public Safety Officers' Educational Assistance

Federal Enterprise Architecture: Education - Higher Education