View Information Collection (IC)

View Information Collection (IC)

IC Title:	SD 816/816C	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
Form	SD 816	Application for Department of Defense Impact Aid for Children with Severe Disabilities	0704-0425_sd-0816-20190821.PDF		Yes	Yes	Fillable Fileable Signable
Form	SD 816c	Application for Department of Defense Impact Aid for Children with Severe Disabilities (continuation page)	0704-0425_SD816C draft 20200214.PDF		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	50	0	0	0	0	50
Annual IC Time Burden (Hours)	400	0	0	0	0	400
Annual IC Cost Burden (Dollars)	14,650	0	-50	0	0	14,700

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.