View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Annual State Application Under Part B of IDEA	Agency IC Tracking Number:	ED-2017-ICCD-0100

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 300.100-176 34 CFR 300.640-645 34 CFR 300.199 34 CFR 300.647(b)(1)(i) 34 CFR 300.705 34 CFR 300.646(a)(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ED9055	Part B Application	1820-0030 Part B Application Instrument-Final 11-8-17.doc		Yes	Yes	Fillable Fileable
Instruction			1820-0030 PartB-instruct2017 110717.doc		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	60	0	0	0	0	60
Annual IC Time Burden (Hours)	840	0	0	0	0	840
Annual IC Cost Burden (Dollars)	0	0	0	0	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.