Information Collection

HUBZone Program Electronic Application, Recertificaiton and Program Examination

IC 35781 under ICR 200907-3245-002 · OMB 3245-0320.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0320 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA Form 2103 HUBZone Program Electronic Application, Recertificaiton and Program Examination	Form and Instruction
SBA Form 2103 HUBZone Program Electronic Application Recertifcation an HUBZone Application SBA Form 2103- 2009.doc www.sba.gov/hubzone/hubzoneapplication/index.html	Form and Instruction
HUIBZone 3Tribal HUBZone Program Certification Indian Tribal HUBZone Cert Form 3Tribal 2009.doc www.sba.gov/hubzone/hubzoneapplication/index.html	Form and Instruction
HUBZone 3ANCCDC HUBZone Program Certification for ANC'S OR CDC'S HUBZone Cert Form 3CitANCCDC OGC.doc www.sba.gov/hubzone/hubzoneapplication/index.html	Form and Instruction
HUBZone 3AGCOP HUBZone Program Certification for Small Agricultural Coo HUBZone Cert Form 3AgCoOp OGC.doc www.sba.gov/hubzone/hubzoneapplication/index.html	Form and Instruction

IC Title:

HUBZone Program Electronic Application, Recertificaiton and Program Examination

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 and Instruction	SBA Form 2103	HUBZone Program Electronic Application Recertifcation and Program Examination	HUBZone Application SBA Form 2103- 2009.doc	http://www.sba.gov/hubzone/hubzoneapplication/index.html	Yes	Yes	Paper Only
Form and Instruction	HUIBZone 3Tribal	HUBZone Program Certification Indian Tribal	HUBZone Cert Form 3Tribal 2009.doc	http://www.sba.gov/hubzone/hubzoneapplication/index.html	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUBZone 3ANCCDC	HUBZone Program Certification for ANC'S OR CDC'S	HUBZone Cert Form 3CitANCCDC OGC.doc	http://www.sba.gov/hubzone/hubzoneapplication/index.html	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUBZone 3AGCOP	HUBZone Program Certification for Small Agricultural Cooperatives	HUBZone Cert Form 3AgCoOp OGC.doc	http://www.sba.gov/hubzone/hubzoneapplication/index.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,377

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,377	2	6,375
Annual IC Time Burden (Hours)	10,725	0	10,725
Annual IC Cost Burden (Dollars)	0	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.