Information Collection

HPCA, Individuals, Amendment, Form 10-168b

IC 190586 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⚠️ Notice: This information collection may be referencing outdated material.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 10-168b HPCA, Individuals, Amendment, Form 10-168b Form and Instruction
10-168b HPCA Amendment HPCA_2009 form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HPCA, Individuals, Amendment, Form 10-168b	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	10-168b	HPCA Amendment	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: 445	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	445	445
Annual IC Time Burden (Hours)	2,136	2,136
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.