Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program

Report of Financial Need and Certification for the Jacob K. Javits Fellowship Program (JH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0630 can be found here:

Documents and Forms

Document Name Document Type
Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program Form
Annual Performance Finacial Need and Certification Repor Att_JKJ Annual Perf Need Cert Rpt Frm(JH)3359.doc Form
Att_JKJ Annual Rpt Instruc(JH)3359.doc INSTRUCTIONS FOR COMPLETING THE ANNUAL PERFORMANCE, FINANCIAL NEED AND CERTIFICATION REPORT FOR THE JACOB K. JAVITS FELLOWSHIP P IC Document
Att_JKJ NCC Coord Ltr(JH)3359.doc ATTACHMENT D Coordinating Letter IC Document
Att_JKJ Annual Rpt Fellow FAFSA Ltr(JH)3359.doc Continuation of your studies on the Jacob K. Javits Fellowship requires that you complete the [next fiscal year] Free Applicatio IC Document
Att_Sample JKJ NCC by Inst and Cohort (JH)3359.xls Sample JKJ NCC IC Document

Information Collection (IC) Details

IC Title:	Annual Performance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program	Agency IC Tracking Number:	3359

Is this a Common Form? No		IC Status: New

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	N/A	Annual Performance Finacial Need and Certification Report	Att_JKJ Annual Perf Need Cert Rpt Frm(JH)3359.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
INSTRUCTIONS FOR COMPLETING THE ANNUAL PERFORMANCE, FINANCIAL NEED AND CERTIFICATION REPORT FOR THE JACOB K. JAVITS FELLOWSHIP PROGRAM	Att_JKJ Annual Rpt Instruc(JH)3359.doc	08/22/2007
ATTACHMENT D Coordinating Letter	Att_JKJ NCC Coord Ltr(JH)3359.doc	08/22/2007
Continuation of your studies on the Jacob K. Javits Fellowship requires that you complete the [next fiscal year] Free Application for Federal Student Aid (FAFSA)	Att_JKJ Annual Rpt Fellow FAFSA Ltr(JH)3359.doc	08/22/2007
Sample JKJ NCC	Att_Sample JKJ NCC by Inst and Cohort (JH)3359.xls	08/22/2007

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