Information Collection

Application Dividend Inquiry Letter

IC 197662 under ICR 201111-1505-002 · OMB 1505-0228.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0228 can be found here:

Documents and Forms

Document Name Document Type
Form TD F 102.1 Application Dividend Inquiry Letter Form
TD F 102.1 Dividend Inquiry Report SBLF Dividends Inquiry v15_05-16-11_543pm.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Dividend Inquiry Letter	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	TD F 102.1	Dividend Inquiry Report	SBLF Dividends Inquiry v15_05-16-11_543pm.docx		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: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-500	500
Annual IC Time Burden (Hours)	-83	83
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.