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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.