Information Collection

Trade Adjustment Assistance for Firms

IC 3745 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⚠️ Notice: This information collection may be referencing outdated material.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
Form ED-840P Trade Adjustment Assistance for Firms	Form
Instructions for ED840P Form.pdf www.eda.gov/PDF/FormED-840PFinal.pdf	Instruction
ED-840P Pettition by a Firm for Certification of Eligibility to Revised Form ED840P-Electronic Version.pdf www.eda.gov/PDF/FormED-840PFinal.pdf	Form
ED-840P Print vers Petition by a Firm for Certification of Eligibilityto Ap Revised Form ED840P-Print Version.pdf www.eda.gov/PDF/FormED-840PFinal.pdf	Form

IC Title:

Trade Adjustment Assistance for Firms

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	ED-840P	Pettition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance	Revised Form ED840P-Electronic Version.pdf	http://www.eda.gov/PDF/FormED-840PFinal.pdf	Yes	Yes	Fillable Printable
Form	ED-840P Print version	Petition by a Firm for Certification of Eligibilityto Apply for Trade Adjustment Assistance	Revised Form ED840P-Print Version.pdf	http://www.eda.gov/PDF/FormED-840PFinal.pdf	Yes	Yes	Fillable Printable
Instruction			Instructions for ED840P Form.pdf	http://www.eda.gov/PDF/FormED-840PFinal.pdf	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 673

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	673	500	173
Annual IC Time Burden (Hours)	5,519	4,135	1,384
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.