Information Collection

Application for Non-Profit Budget and Credit Counseling Agencies

IC 11781 under ICR 200701-1105-001 · OMB 1105-0084.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0084 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form xxx Application for Non-Profit Budget and Credit Counseling Agencies	Form
xxx Appendix E: Activity Report for Approved Agencies (old f CC Application Appendix E (040306).doc	Form
xxx Appendix E: Activity Report for Approved Credit Counseli New Appendix E.pdf	Form

IC Title:

Application for Non-Profit Budget and Credit Counseling Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	xxx	Appendix E: Activity Report for Approved Agencies (old form)	CC Application Appendix E (040306).doc		Yes	No	Fillable Printable
Form	xxx	Appendix E: Activity Report for Approved Credit Counseling Agencies	New Appendix E.pdf		Yes	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	8,000	8,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.