Information Collection

Leep Student Certification And Note/instructions

IC 120100 under ICR 198004-1121-001 · OMB 1121-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0002 can be found here:

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Information Collection (IC) Details

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IC Title:	LEEP STUDENT CERTIFICATION AND NOTE/INSTRUCTIONS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	LEEP-3				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	110,000	-90,000	200,000
Annual IC Time Burden (Hours)	27,500	-5,800	33,300
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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