GRA Nomination School/District/IHE Forms and Sample Applications

U.S. Department of Education Green Ribbon Schools Nominee Presentation Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1860-0509 can be found here:

Documents and Forms

Document Name Document Type
GRA Nomination School/District/IHE Forms and Sample Applications Form
IHE Nomination Form Nominee Presentation Form IHE 20152018.doc www.greenstrides.org Form
District Nomination Form Nominee Presentation Form District 20152018.doc www.greenstrides.org Form
School Nomination Form Nominee Presentation Form School 20152018.doc www.greenstrides.org Form
sample-application-districts 20172018.doc District Sample Application IC Document
sample-application-IHEs -20172018.doc IHE Sample Application IC Document
sample-application-schools 2018.doc School Sample Application IC Document

Information Collection (IC) Details

IC Title:	GRA Nomination School/District/IHE Forms and Sample Applications	Agency IC Tracking Number:	ED-2017-ICCD-0143

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	N/A	IHE Nomination Form	Nominee Presentation Form IHE 20152018.doc	www.greenstrides.org	Yes	Yes	Fillable Fileable
Form	N/A	District Nomination Form	Nominee Presentation Form District 20152018.doc	www.greenstrides.org	Yes	Yes	Fillable Fileable
Form	N/A	School Nomination Form	Nominee Presentation Form School 20152018.doc	www.greenstrides.org	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	-1,081	1,111
Annual IC Time Burden (Hours)	1,350	-3,316	4,666
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
District Sample Application	sample-application-districts 20172018.doc	01/24/2018
IHE Sample Application	sample-application-IHEs -20172018.doc	01/24/2018
School Sample Application	sample-application-schools 2018.doc	01/24/2018

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