Information Collection

HPCA Individuals Part 2, 10-168a

IC 190584 under ICR 200906-1024-002 · OMB 1024-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 10-168a HPCA Individuals Part 2, 10-168a Form and Instruction
10-168a HPCA Part 2 HPCA_2009 form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HPCA Individuals Part 2, 10-168a	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 67

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-168a	HPCA Part 2	HPCA_2009 form.pdf		Yes	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 340	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	340	340
Annual IC Time Burden (Hours)	13,532	13,532
Annual IC Cost Burden (Dollars)	85,000	85,000

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.