Information Collection

RLF Income and Expense Statement

IC 185302 under ICR 201106-0610-004 · OMB 0610-0095.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0610-0095 can be found here:

Documents and Forms

Document Name Document Type
Form ED-209I RLF Income and Expense Statement Form and Instruction
ED-209I RLF Income and Expense Statement 0610.0095.Form-ED-209I[1].doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RLF Income and Expense Statement	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
Form and Instruction	ED-209I	RLF Income and Expense Statement	0610.0095.Form-ED-209I[1].doc		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 154	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	308	-860	1,168
Annual IC Time Burden (Hours)	231	-937	1,168
Annual IC Cost Burden (Dollars)	0	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.