Application for designation of eligibility to apply for Institutional Service grants

Designation As An Eligible Institution Under the Title III and Title V Programs and to Request A Waiver of the Non-Federal Cost Share Reimbursement (1894-0001)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0103 can be found here:

Documents and Forms

Document Name Document Type
Form 1049 Application for designation of eligibility to apply for Institutional Service grants Form
Eligibility FY2017 Application Instructions FINAL.docx Instruction
1049 Application for Designation as an Eligible Institution Eligibility FY2017 Application Form FINAL.doc Form

Information Collection (IC) Details

IC Title:	Application for designation of eligibility to apply for Institutional Service grants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 606.2 34 CFR 607.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1049	Application for Designation as an Eligible Institution	Eligibility FY2017 Application Form FINAL.doc		Yes	Yes	Fillable Fileable
Instruction			Eligibility FY2017 Application Instructions FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	-600	800
Annual IC Time Burden (Hours)	1,400	-4,200	5,600
Annual IC Cost Burden (Dollars)	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.