OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Department of Defense Impact Aid for Children with Severe Disabilities

ICR 201705-0704-001 · OMB 0704-0425 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DD Form 816 Application for Department of Defense Impact Aid for Children with Severe Disabilities Form Modified Available
Supporting Statement Part A.docx Supporting Statement A Uploaded 2017-05-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
5521 Application for Department of Defense Impact Aid for Children with Severe Disabilities Form Modified
ICR Details
0704-0425 201705-0704-001
Historical Active 201403-0704-001
DOD/DODDEP
Application for Department of Defense Impact Aid for Children with Severe Disabilities
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 06/30/2017
Retrieve Notice of Action (NOA) 05/30/2017
DOD needs to report this collection as a violation in the Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved
50 0 0
400 0 0
14,700 0 0
Department of Defense funds are authorized for local educational agencies (LEAs) that educate military dependent students with severe disabilities and meet certain criteria. The application will be requested of LEAs that educate military dependent students to determine if they meet the criteria to receive additional funds from the Department of Defense due to the high special education cost of the military dependent students with severe disabilities that they serve.
US Code: 20 USC 7703a Name of Law: Impact aid for children with severe disabilities
   PL: Pub.L. 106 - 398 363 Name of Law: The National Defense Authorization Act for Fiscal Year (FY) 2001
   PL: Pub.L. 447 - 92 572 Name of Law: The National Defense Authorization act for FY 2016
  
None
Not associated with rulemaking
  82 FR 12948 03/08/2017
82 FR 24310 05/26/2017
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 0 0 0 0 50
Annual Time Burden (Hours) 400 0 0 0 0 400
Annual Cost Burden (Dollars) 14,700 0 0 0 0 14,700
No
No
$18,800
No
No
No
No
No
Uncollected
Mayra Dalence 571 372-0417 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/30/2017