OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202001-0704-001 · OMB 0704-0425 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SD 816 SD 816/816C Form Modified Available
0704-0425_SSA_3.4.2020.docx Supporting Statement A Uploaded 2020-03-04 Available
0704-0425_Sample Award Letter.docx Supplementary Document Uploaded 2020-02-24 Repair queued
0704-0425_Initial Email Notification to LEAs.docx Supplementary Document Uploaded 2020-02-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
5521 SD 816/816C Form Modified
ICR Details
0704-0425 202001-0704-001
Active 201705-0704-001
DOD/DODDEP
Application for Department of Defense Impact Aid for Children with Severe Disabilities
Revision of a currently approved collection   No
Regular
Approved without change 04/13/2020
Retrieve Notice of Action (NOA) 03/04/2020
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved 06/30/2020
50 0 50
400 0 400
14,650 0 14,700
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
  84 FR 61043 11/12/2019
85 FR 6536 02/05/2020
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 50 0 0 0 0
Annual Time Burden (Hours) 400 400 0 0 0 0
Annual Cost Burden (Dollars) 14,650 14,700 0 -50 0 0
No
No
$22,800
No
    Yes
    No
No
No
No
Uncollected
Kyle Torrance 571 372-8102 [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.
03/04/2020