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Scholarships for Disadvantaged Students (SDS) Program
Scholarships for Disadvantaged Students (SDS) Program
OMB: 0915-0149
IC ID: 6377
OMB.report
HHS/HSA
OMB 0915-0149
ICR 200706-0915-004
IC 6377
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0149 can be found here:
2019-11-05 - Revision of a currently approved collection
2016-12-08 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form sds1
Scholarships for Disadvantaged Students (SDS) Program
Form
0149 instructions.doc
Instruction
sds1 sds1
0149 application.doc
Form
sds2 sds2
0149 performance report.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Scholarships for Disadvantaged Students (SDS) Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
sds1
sds1
0149 application.doc
Yes
Yes
Fillable Fileable
Form
sds2
sds2
0149 performance report.doc
Yes
Yes
Fillable Fileable
Instruction
0149 instructions.doc
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
500
0
50
450
0
0
Annual IC Time Burden (Hours)
10,500
0
-75
10,575
0
0
Annual IC Cost Burden (Dollars)
0
0
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.