Information Collection

Consolidate Waiver Request Form

IC 243124 under ICR 202008-1076-001 · OMB 1076-0194.

Documents and Forms

Document Name Document Type
Consolidate Waiver Request Form Form and Instruction
Consolidated Waiver Request Form EDITED BIE waiver request form-emergency collection request.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consolidate Waiver Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR §39.214 25 CFR 1.2 25 CFR §§36.20-24 25 CFR §36.43 25 CFR §§36.32(a) and (b) 25 CFR §36.31(c) 25 CFR §36.50 25 CFR §§39.710-711 25 CFR §§39.216-221 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Consolidated Waiver Request Form	EDITED BIE waiver request form-emergency collection request.docx		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 183	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	183	183
Annual IC Time Burden (Hours)	183	183
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.