Information Collection

Membership nomination form

IC 198397 under ICR 202101-1076-001 · OMB 1076-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0179 can be found here:

Documents and Forms

Document Name Document Type
Membership nomination form Form
Call for Noms.docx Instruction
FRN_Board Nominations_TEMPLATE.docx www.federalregister.gov/documents/2020/09/14/2020-20185/advisory-board-for-exceptional-children Instruction
Membership Nomination Form OMB# 1076-0179 (Membership Nomination FORM) 1-5-21.docx Form
Membership Nomination Form OMB# 1076-0179 (Membership Nomination FORM) FINAL.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Membership nomination form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			FRN_Board Nominations_TEMPLATE.docx	https://www.federalregister.gov/documents/2020/09/14/2020-20185/advisory-board-for-exceptional-children	Yes	Yes	Printable Only
Form	N/A	Membership Nomination Form	OMB# 1076-0179 (Membership Nomination FORM) FINAL.docx		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Employee Administrative Records	FR Citation: 64 FR 19384

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
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.