Information Collection

FLO Professional Development Fellowship (PDF) Application

IC 229600 under ICR 202406-1405-003 · OMB 1405-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0229 can be found here:

Documents and Forms

Document Name Document Type
Form DS-4297 FLO Professional Development Fellowship (PDF) Application Form and Instruction
DS-4297 Professional Development Fellowship Application ds4297 - PDF Application form- 02-07-2024.pdf Form and Instruction
DS-4297 Professional Development Fellowship Application ds4297 - PDF Application form- 02-07-2024.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FLO Professional Development Fellowship (PDF) Application	Agency IC Tracking Number:

Is this a Common Form? Yes		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
Form and Instruction	DS-4297	Professional Development Fellowship Application	ds4297 - PDF Application form- 02-07-2024.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: STATE-31, Human Resources Records	FR Citation: 78 FR 43258

Number of Respondents: 265	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	265	5	260
Annual IC Time Burden (Hours)	729	14	715
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.