Scholarships for Disadvantaged Students (SDS) Program Application Form

Scholarships for Disadvantaged Students Application Program Specific Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0149 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Scholarships for Disadvantaged Students (SDS) Program Application Form Form and Instruction
1 SDS App OPCCopy of SDS specific form 2012 - revised.xlsx Form and Instruction
1a SDS App Instructions OPC Program Specific form instructions AY 2012 final OMBrevised 11-1-2013.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Scholarships for Disadvantaged Students (SDS) Program Application Form	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	SDS App	OPCCopy of SDS specific form 2012 - revised.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	1a	SDS App Instructions	OPC Program Specific form instructions AY 2012 final OMBrevised 11-1-2013.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	-200	600
Annual IC Time Burden (Hours)	5,200	-3,200	8,400
Annual IC Cost Burden (Dollars)	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.