View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0915-0149	ICR Reference No: 201612-0915-003
Status: Historical Active	Previous ICR Reference No: 201311-0915-004
Agency/Subagency: HHS/HSA	Agency Tracking No: 20517
Title: Scholarships for Disadvantaged Students Application Program Specific Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/03/2017
	Date Received in OIRA: 12/08/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	03/31/2017
Responses	400	0	598
Time Burden (Hours)	5,200	0	9,952
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	400	598	-198
Annual Time Burden (Hours)	5,200	9,952	-4,752
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a decrease in burden as a form has been removed from this revision, thus reducing the burden for this ICR.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.