Information Collection

SMART Scholarship Service Agreement Amendment Request

IC 256168 under ICR 202209-0704-002 · OMB 0704-0466.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0466 can be found here:

Documents and Forms

Document Name Document Type
Form DD 3067-11 SMART Scholarship Service Agreement Amendment Request Form
DD 3067-11 Science, Mathematics, and Research for Transformation (S DD3067-11 DRAFT 20220701.pdf Form
DD 3067-11 Science, Mathematics, and Research for Transformation (S DD3067-11 DRAFT 20220701.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SMART Scholarship Service Agreement Amendment Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	DD 3067-11	Science, Mathematics, and Research for Transformation (SMART) Scholarship Service Agreement Amendment Request	DD3067-11 DRAFT 20220701.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	3,750	3,750

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.