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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202604-0704-003 · OMB 0704-0425 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SD 816 Application for Department of Defense Impact Aid for Children with Severe Disabilities Form Modified Available
0704-0425_SSA_Impact Aid_5.27.26.docx Supporting Statement A Uploaded 2026-05-27 Available
0704-0425_Sample Award Letter.docx Supplementary Document Uploaded 2026-04-27 Repair queued
0704-0425_Initial Email Notification to LEAs.docx Supplementary Document Uploaded 2026-04-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
5521 SD 816 Form ModifiedApplication for Department of Defense Impact Aid for Children with Severe Disabilities
ICR Details
0704-0425 202604-0704-003
Received in OIRA 202303-0704-007
DOD/DODDEP
Application for Department of Defense Impact Aid for Children with Severe Disabilities
Revision of a currently approved collection   No
Regular 05/27/2026
  Requested Previously Approved
36 Months From Approved 06/30/2026
100 150
350 401
22,284 14,650
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.
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
   US Code: 20 USC 7703a Name of Law: Impact aid for children with severe disabilities
  
None
Not associated with rulemaking
  91 FR 8211 02/20/2026
91 FR 29467 05/20/2026
No
1
IC Title Form No. Form Name
SD 816 SD 816 Application for Department of Defense Impact Aid for Children with Severe Disabilities
  Total Request 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 100 150 0 -50 0 0
Annual Time Burden (Hours) 350 401 0 -51 0 0
Annual Cost Burden (Dollars) 22,284 14,650 0 7,634 0 0
No
Yes
Miscellaneous Actions
Respondent burden has increased due to an increase in Local Educational Agencies' salary.
$7,300
No
    Yes
    No
No
No
No
No
LaTarsha Yeargins 571 372-2089 [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.
05/27/2026