Information Collection

Project 25 Laboratory Application for Assessment and Recognition

IC 184914 under ICR 201109-0693-001 · OMB 0693-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0053-P25-Lab-Application-AssessmentRecongnition-updated-8-31-11.pdf www.safecomprogram.gov/SAFECOM/currentprojects/project25cap/	Other-Application

IC Title:

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
Other-Application			0693-0053-P25-Lab-Application-AssessmentRecongnition-updated-8-31-11.pdf	http://www.safecomprogram.gov/SAFECOM/currentprojects/project25cap/	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	0	-10	20
Annual IC Time Burden (Hours)	10	0	-10	20
Annual IC Cost Burden (Dollars)	40	40	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.