Title Vii Student Eligibility Certification Form - U.s. Department Of Education (Page 2 of 2) in pdf

Title Vii Student Eligibility Certification Form - U.s. Department Of Education Page 2

PAPERWORK BURDEN STATEMENT

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a

collection of information unless such collection displays a valid OMB control number. The

valid OMB control number for this information collection is 1810-0021. The time required to

complete this portion of the information collection per type of respondent is estimated to

average: 15 minutes per Indian student certification (ED 506) form; including the time to

review instructions, search existing data resources, gather the data needed, and complete and

review the information collection. If you have any comments concerning the accuracy of the

time estimate(s) or suggestions for improving this form, please write to: U.S. Department

of Education, Washington, D.C. 20202-4651. If you have comments or concerns regarding

the status of your individual submission of this form, write directly to: Office of Indian

Education, U.S. Department of Education, 400 Maryland Avenue, S.W., LBJ/Room 3E200,

Washington, D.C. 20202-6335.

Title Vii Student Eligibility Certification Form - U.s. Department Of Education Page 2