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Scholarships for Disadvantaged Students Performance Report Form
Scholarships for Disadvantaged Students Application Program Specific Form
OMB: 0915-0149
IC ID: 209465
OMB.report
HHS/HSA
OMB 0915-0149
ICR 201311-0915-004
IC 209465
( )
⚠️ Notice: This information collection may be referencing outdated material.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 2
Scholarships for Disadvantaged Students Performance Report Form
Form and Instruction
2 SDSPR
OPCCopy of SDS PR FY12 data template part 2 w-o codes.xlsx
Form and Instruction
2b SDSPR guidance
OPCSDSPR Guidance FY 2012-13 11-1-2013.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Scholarships for Disadvantaged Students Performance Report Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
2
SDSPR
OPCCopy of SDS PR FY12 data template part 2 w-o codes.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
2b
SDSPR guidance
OPCSDSPR Guidance FY 2012-13 11-1-2013.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
99
Number of Respondents for Small Entity:
40
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
198
0
0
198
0
0
Annual IC Time Burden (Hours)
4,752
0
2,376
2,376
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.