Information Collection

RLF Income and Expense Statement

IC 185302 under ICR 201207-0610-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

RLF Income and Expense Statement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	308	308
Annual IC Time Burden (Hours)	231	231
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.