FRF Agreement Form

Assessment Account Designation and Indepenent Bank Receivable Form

OMB: 1505-0245

IC ID: 200585

Information Collection (IC) Details

View Information Collection (IC)

FRF Agreement Form
 
No Modified
 
Mandatory
 

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

Economic Development Business and Industry Development

 

48 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 48 48 0 0 0 0
Annual IC Time Burden (Hours) 24 24 0 0 0 0
Annual IC Cost Burden (Dollars) 600 600 0 0 0 0

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