Information Collection

Application

IC 197314 under ICR 201104-1505-009 · OMB 1505-0232.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDLF Application v5 2011.04.08.pdf	Other-Application

IC Title:

Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Application			CDLF Application v5 2011.04.08.pdf		No		Printable Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	47,250	47,250

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.