Information Collection

Compliance Certification (State Governments)

IC 193263 under ICR 201103-1505-005 · OMB 1505-0224.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0224 can be found here:

Documents and Forms

Document Name Document Type
NIBP_Compliance_Checklist_StateGov_REVOMB#.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compliance Certification (State Governments)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NIBP_Compliance_Checklist_StateGov_REVOMB#.doc		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	196	196
Annual IC Time Burden (Hours)	392	392
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.