Information Collection

Accounting System and Financial Capability Questionnaire

IC 202670 under ICR 201206-3095-001 · OMB 3095-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 17003 Accounting System and Financial Capability Questionnaire	Form and Instruction
NA Form 17003 Accounting System and Financial Capability Questionnaire na-17003.docx	Form and Instruction

IC Title:

Accounting System and Financial Capability Questionnaire

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
Form and Instruction	NA Form 17003	Accounting System and Financial Capability Questionnaire	na-17003.docx		No		Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	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.