Adjustment Proposals

Trade Adjustment Assistance for Firms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0610-0091 can be found here:

Documents and Forms

Document Name Document Type
0610.0091.AdjPropTemplate.doc Other-Adjustment Proposal Template

Information Collection (IC) Details

IC Title:	Adjustment Proposals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Adjustment Proposal Template			0610.0091.AdjPropTemplate.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 193	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	193	193
Annual IC Time Burden (Hours)	23,160	23,160
Annual IC Cost Burden (Dollars)	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.