Information Collection

Adjustment Proposals

IC 188560 under ICR 200911-0610-001 · OMB 0610-0091.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0610.0091.AdjPropTemplate.doc	Other-Adjustment Proposal Template

IC Title:

Adjustment Proposals

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
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: 493

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	493	300	193
Annual IC Time Burden (Hours)	59,160	36,000	23,160
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.