Information Collection

Application for Public Safety Officers' Educational Assistance

IC 12501 under ICR 201701-1121-001 · OMB 1121-0220.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0220 can be found here:

Documents and Forms

Document Name Document Type
Form OJP form 1240 Application for Public Safety Officers' Educational Assistance Form and Instruction
OJP form 1240 PSOBEA PSOEA APPLICATION FORM.pdf www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Public Safety Officers' Educational Assistance	Agency IC Tracking Number:	BJA

Is this a Common Form? No		IC Status: Unchanged

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	OJP form 1240	PSOBEA	PSOEA APPLICATION FORM.pdf	http://www.ojp.usdoj.gov/BJA/grant/psob/PSOEA_New_Application_Form.pdf	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.