Information Collection

FRF Agreement Form

IC 200585 under ICR 201209-1505-002 · OMB 1505-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0245 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TD F 105.1 FRF Agreement Form	Form
TD F 105.1 FRF Assessment Agreement FRF Preauthorized Payment Agreementrev5.4.pdf	Form

IC Title:

FRF Agreement Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	TD F 105.1	FRF Assessment Agreement	FRF Preauthorized Payment Agreementrev5.4.pdf		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: 48

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	600	600

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.