Application for Impact Aid-Section 8003

Impact Aid Program Application for Section 8003 Assistance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0687 can be found here:

Documents and Forms

Document Name Document Type
Form 1810-0687 Application for Impact Aid-Section 8003 Form and Instruction
FY 2014 IC Sec 8003 Appl Instructions.docx www.g5.gov Instruction
1810-0687 Housing Offical Certification Form Housing Certification Form.pdf Form and Instruction
1810-0687 HOUSING UNDERGOING RENOVATION OR REBUILDING HOUSING OFFI HOUSING UNDERGOING RENOVATION OR REBUILDING- CONTACT INFORMATION FORM.docx www.g5.gov Form and Instruction
1810-0687 Section 8003 Application for Impact Aid Blank Application.pdf www.g5.gov Form
impactaidleg.doc Impact Aid Statute IC Document

Information Collection (IC) Details

IC Title:	Application for Impact Aid-Section 8003	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 222

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1810-0687	Housing Offical Certification Form	Housing Certification Form.pdf		Yes	Yes	Paper Only
Form and Instruction	1810-0687	HOUSING UNDERGOING RENOVATION OR REBUILDING HOUSING OFFICIAL CONTACT INFORMATION	HOUSING UNDERGOING RENOVATION OR REBUILDING- CONTACT INFORMATION FORM.docx	www.g5.gov	Yes	Yes	Fillable Fileable
Form	1810-0687	Section 8003 Application for Impact Aid	Blank Application.pdf	www.g5.gov	Yes	Yes	Fillable Fileable
Instruction			FY 2014 IC Sec 8003 Appl Instructions.docx	www.g5.gov	Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 501,264	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	Previously Approved
Annual Number of Responses for this IC	501,264	0	0	-575	501,839
Annual IC Time Burden (Hours)	140,676	-190	-2,076	0	142,942
Annual IC Cost Burden (Dollars)	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Impact Aid Statute	impactaidleg.doc	08/21/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.