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EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable)

**SUPPORTING STATEMENT FOR PAPERWORK REDUCTION ACT SUBMISSION** 

**A. Justification**  **1. Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the**  **collection. Attach a hard**  **copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information**  **, or**  **you may provide a valid**  **URL link or paste the applicable**  **section 1**  **. Specify the review type of the collection (new, revision, extension, reinstatement**  **with change, reinstatement without change) . If revised, briefly specify the changes. If a**  **rulemaking is involved, make note of the sections or changed sections, if applicable.** Title VII, Part A, Subpart 1 of the Higher Education Act of 1965, as amended, authorizes the Secretary to award fellowships under the Jacob K. Javits Fellowship Program for graduate study in the arts, humanities, and social sciences. The fellowships support graduate students of su perior ability

selected on the basis of demonstrated achievement, exceptional promise and financial need. The award is a four
- ye ar fellowship contingent on the appropriation of funds b y Congress. The amounts of new and continuing awards are based on a st udent’s financial need as determined b y the Title IV, Part F needs anal ys is system. Each individual fellow’s need must be assessed and reported each year, along with a continuing fellow’s academic progress a s determined b y the institution, in the Annual P erformance, Financial Need and Certification Report for the Jacob K. Javits Fellowship Program. **2. Indicate how, by whom, and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of th**  **e information received from the current collection.**  The U.S. Department of Education (ED) uses the data in determining the eligibility and fellowship amount for Javits fellows, and the total amount of program funds that are sent to the fellow’s instituti on. Information gathered from the collection is also used to compile program data regarding need and attrition rates. The information is used internally to make annual awards, for biannual reports to Congress, and to respond to congressional inquiries. **3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or forms of**  **information technology, e.g. permitting electronic submission of respo nses, and the basis** 

1 Please limit pasted text to no longer than 3 paragraphs.2

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable) **for the decision of adopting this means of collection. Also describe any consideration given to using technology to reduce burden.**  Once the package is approved, an electronic version of the form will be posted on the Jacob K. Javits Web site. The report is completed and submitted annually via an online system by grantee institutions seeking continuation awards for their fellows. All reports are submitted electronically
. **4. Describe efforts to identify duplication. Show specifically why any similar information already available cannot be used or modified for use for the purposes described in Item 2**  **above.** The collection and use of this information is not duplicated in ED. The information requested is based on calculations made by the fellows’ financial aid offices according to Title IV Part F that cannot be obtained b y our o ffice through any other channel. No similar information is available. **5. If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden. A small entity may be (1) a small business which is**  **deemed to be one that is indepe ndently owned and operated and that is not dominant in its**  **field of operation; (2) a small organization that is any not -**  **for -**  **profit enterprise that is independently owned and operated and is not dominant in its field; or (3) a small**  **government jurisdiction, which is a government of a city, county, town, township, school**  **district, or special district with a population of less than 50,000.** This information collection does not apply to small businesses or other small entities. **6. Describe the consequences to Federal program or policy activities if the collection is not**  **conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.**  Failure to gather this information would make it impossible for ED to make awards under this program. The data requested is the minimum necessary to administer the grant in compliance with program regulations in 34 CFR Part 650. Since the grants awarded under this program are awarded on an annual basis, data must be collected for each new funding cycle. **7. Explain any special circumstances that would cause an information collection to be**  **conducted in a manner:**

 **requiring respondents to report information to the agency more often than quarterly;** 

 **requiring respondents to prepare a writte n response to a collection of information in**  **fewer than 30 days after receipt of it;**

 **requiring respondents to submit more than an original and two copies of any document;** 3

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable)

 **requiring respondents to retain records, other than health, medical, government contract, grant** **- in**  **- aid, or tax records for more than three years;** 

 **in connection with a statistical survey, that is not designed to produce valid and reliable results than can be generalized to the universe of study;** 

 **requiring the use of a statistical dat a classification that has not been reviewed and**  **approved by OMB;**

 **that includes a pledge of confidentiality that is not supported by authority established in statute or regulation, that is not supported by disclosure and data**  **security policies that are con sistent with the pledge, or that unnecessarily impedes**  **sharing of data with other agencies for compatible confidential use; or**

 **requiring respondents to submit proprietary trade secrets, or other confidential information unless the agency can demonstrate t**  **hat it has instituted procedures to protect the information’s confidentiality to the extent permitted by law.**  This information collection does not include any s pecial circumstances. **8. As**  **applicable, state that the Department has published the 60 and 30 Fed**  **eral Register notices as**  **required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in**  **response to that notice and describe actions taken by the agency in response to these comments. Specifically address comments received on cost and hour burden.**  **Describe efforts to consult with persons outside the agency to obtain their views on the availability of data, frequency of collection, the clarity of instruction and record**  **keepi ng, disclosure, or reporting format (if any), and on the data elements to be**  **recorded, disclosed, or reported. Consultation with representatives of those from whom information is to be obtained or**  **those who must compile records should occur at least once every 3 years** 

**– even if the**  **collection of information activity is the same as in prior periods. There may be circumstances that may preclude consultation in a specific situation. These**  **circumstances should be explained.** A 60
- day Federal Register Notice was published on

___________ in volume ___, page

_____ , and a 30
- day

Federal Register Notice was published on

__________ in volume

___ , page

_____ . The information presented in this justification represents the processing experiences of both the IHE administrators and ED program staff.4

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable) **9. Explain any decision to provide any payment or gift to respondents, other than**  **remuneration of contractors or grantees with meaningful justification**  **.** No pay ment or gifts are provided to respondents. **10. Describe any assurance of confidentiality provided to respondents and the basis for the**  **assurance in statute, regulation, or agency policy. If personally identifiable information (PII) is being collected, a Privacy Act state**  **ment should be included on the instrument. Please provide a citation for the Systems of Record Notice and the date a Privacy Impact**  **Assessment was completed as indicated on the IC Data Form**  **. A confidentiality statement with a legal citation that authorizes the**  **pledge of**  **confidentiality should be provided.**  **2 If the**  **collection is subject to the Privacy Act, the Privacy Act statement is deemed sufficient with respect to confidentiality. If there**  **is no expectation of confidentiality, simply state that the Department make**  **s no pledge about the confidentially of the data.**  Each respondent is informed that the financial information collected is used solely for determination of the stipend amount and total fellowship award. Any financial data made public is only presented in aggregate. There are no assurances of confidentiality. **11. Provide additional justification for any questions of a sensitive nature, such as sexual**  **behavior and attitudes, relig ious beliefs, and other matters that are commonly considered**  **private. The justification should include the reasons why the agency considers the questions necessary, the specific uses to be made of the information, the explanation to be**  **given to persons fr om whom the information is requested, and any steps to be taken to**  **obtain their consent.** No questions of a sensitive nature are asked in this report. **12. Provide estimates of the hour burden of the collection of information. The statement**  **should:**

 **Indicate the number of respondents by affected public type (federal government, individuals or households, private sector** 

**– businesses or other for** **- profit, private**  **sector**
**– not**  **- for** **- profit institutions, farms, state, local or tribal governments),**  **frequency of response, annual hour burden, and an explanation of how the**  **burden was estimated, including identification of burden type: recordkeeping, reporting or third party disclosure. All narrative should be included in item 12.**  **Unless directed to do so, agenci es should not conduct special surveys to obtain**  **information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potential respondents is desirable. If the hour burden** 

2 Requests for this information are in accordance with the following ED and OMB policies: Privacy Act of 1974, OMB Circular A
- 108

– Privacy Act Implementation

– Guidelines and Responsibilities, OMB Circular A
- 130 Appendix I

– Federal Agency Responsibilities for Maintaining Records About Individuals, OMB M
- 03
- 22

– OMB Guidance for Implementing the Privacy Provisions of the E
- Government Act of 2002, OMB M
- 06
- 15

– Safeguarding Personally Identifiable Information, OM : 6
- 104

– Privacy Act of 1974 (Collection, Use and Protection of Personally Identifiable Information)5

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable)

**on respondents is expected to vary widely because of differences in activity, size,**  **or complexity, show the range of estimated hour burden, and explain the reasons for the variance. Generally, estimates should not include burden hours for**  **customary and usual business practices.**

 **If this request for approval covers more than one form, provide separate hour**  **burden estimates for each form and aggregate the hour burdens in the ROCIS**  **IC Burden Analysis Table. (The table should at**  **minimum include Respondent**  **types, IC activity, Respondent and Responses, Hours/Resp onse, and Total**  **Hours)**

 **Provide estimates of annualized cost to respondents of the hour burdens for collections of information, identifying and using appropriate wage rate**  **categories. The cost of contracting out or paying outside parties for information collection activities should not be included here. Instead, this cost should be**  **included in Item 14. Respondent**  **Type Number of** 

**Respondents Frequency of** 

**Response Hours**  **Total Burden Hours**  IH E 51 annual 4 204 TOTAL S 51 4 204 The burden of individual respondents is estimated at an average of 4 hours for each IHE. These estimates are based on input from respondents during previous funding cycles. Estimated total annual cost burden to respondents. **Respondent Type**  **Number of**

**Respondents Frequency** 

**of Res ponse**  **Hours Total**  **Burden Hours**  **Wage Total**  **Cost** IH E 51 annual 4 204 $20 /hour $ 4 ,0 8 0 TOTAL S 51 4 204 $4,08 0
**13. Provide an estimate of the total annual cost burden to respondents or record keepers**  **resulting from the collection of information. (Do not include the cost of any hour burden**  **shown in Items 12 and 14.)**

 **The cost estimate should be split into two components: (a) a total capital and start****** **up cost component (annualized over its expected useful life); and (b) a total operation and maintenance and purchase of services component. The estimates**  **should take into account costs associated with generating, maintaining, and**  **disclosing or providing the information. Include descriptions of methods used to estimate major cost factors including system and technology acquisition, expected** 6

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable) **useful life of capital equipment , the discount rate(s), and the time period over which**  **costs will be incurred. Capital and start -**  **up costs include, among other items, preparations for collecting information such as purchasing computers and software;**  **monitoring, sampling, drilling and tes ting equipment; and acquiring and**  **maintaining record storage facilities.**

 **If cost estimates are expected to vary widely, agencies should present ranges of cost burdens and explain the reasons for the variance. The cost of contracting out**  **information colle ction services should be a part of this cost burden estimate. In**  **developing cost burden estimates, agencies may consult with a sample of respondents (fewer than 10), utilize the 60**  **- day pre**  **- OMB submission public**  **comment process and use existing economic or regulatory impact analysis associated**  **with the rulemaking containing the information collection, as appropriate.**

 **Generally, estimates should not include purchases of equipment or services, or portions thereof, made: (1) prior to October 1, 1995, (2) to achieve regulatory**  **compliance with requirements not associated with the information collection, (3) for reasons othe**  **r than to provide information or keep records for the government**  **or (4) as part of customary and usual business or private practices.**  **Also, these estimates should not include the hourly costs (i.e., the monetization of the hours) captured**  **above in Item 12 Total Annualized Capital/Startup Cost**  **: Total Annual Costs (O&M)**  **:**

**____________________ Total Annualized Costs Requested**  **:** There are no start
- up costs. There are no costs associated with this collection. **14. Provide estimates of annualized cost to the Federal government. Also,**  **provide a description of the method used to estimate cost, which should include quantification of**  **hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this c**  **ollection of information. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a**  **single table.** Estimated annualized cost to the Federal Government. **Task Cost**  **Hours Number**  **Total Cost to USG**  Securing OMB approval (every 3 years) $ 4 5/hr 20 1 $900 Forms design (every

3 years) $ 4 5/hr 5 1 $225 Lo gging in and review of forms by staff $ 4 5/hr .5 51 $1147.50 Preparation and issue of Grant $ 4 5/hr 1 51 $22957

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable) Award Documents ( 51 grants; 1 hour per grant) Mailing of Grant Award Documents $. 46 ea. 51 $2 3 .46 Preparation of funding slate $ 4 5/hr 20 1 $900 Department staff to review and approve slate $ 6 0/hr 5 1 $300 Annual monitoring and technical assistance $ 4 5/hr .5 51 $ 1147.50 **TOTAL $**  **6938.46**
**15. Explain the reasons for any program changes or adjustments. Generally, adjustments**  **in burden result from re -**  **estimating burden and/or from economic phenomenon outside of an agency’s control (e.g., correcting a burden estimate or an organic increase in the s**  **ize of the reporting universe). Program changes result from a deliberate action that materially**  **changes a collection of information and generally are result of new statute or an agency action (e.g., changing a form, revising regulations, redefining the res**  **pondent universe, etc.). Burden changes should be disaggregated by type of change (i.e., adjustment, program**  **change due to new statute, and/or program change due to agency discretion), type of collection (new, revision, extension, reinstatement with change**  **, reinstatement without change) and include**  **totals for changes in burden hours**  **, responses and cost**  **s (if applicable)**  **.** A reduction in burden occurred in this information collection as a result of a decrease in the number of Javits grantees receiving non - competing continuation institutional awards since the collection was last approved in 2010
. The last Javits Program fellowship competition was held in FY 2011. Therefore, no new institutional awards have been made since that time, which decreased the number of continuing grantees required to report annuall y. As individual Javits fellows attending these institutions complete their degree programs and no longer need funding, the number of remaining grantees further decreases. Since the last collection was approved, the number of respondents decreased from 100 to 51, creating a reduction in the Annual Cost to the Federal Government from $ 11,358.00 to $6 , 938.46 as shown in the Table in item 14
. **16. For collections of information whose results wil** **l be published, outline plans for tabulation and publication. Address any complex analytical techniques that will be used.**  **Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion**  **of report, publication dates, and other actions.** ED is not planning to publish any information from this collection. **17. If seeking approval to not display the expiration date for OMB approval of the**  **information collection, explain the reasons that display would be inappropriate.**  We will display

the expiration date.8

EDICS Tracking and OMB Number: (XXXX) XXXX
- XXXX Revised: XX/XX/XXXX RIN Number: XXXX
- XXXX (if applicable) **18. Explain each exception to the certification statement identified in the Certification of**  **Paperwork Reduction Act.** No exceptions are being requested.