Regional Resource Center Monthly Report Form

Counseling Information Form; Regional Center Intake Form and Quarterly (formerly Monthlly) Report of Operations Form.

OMB: 2105-0554

IC ID: 186824

Information Collection (IC) Details

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Regional Resource Center Monthly Report Form
 
No Removed
 
Voluntary
 
49 CFR 23 49 CFR 26

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DOT F 4502 The Regional Resource Center Monthly Report Form DOT F 4502.pdf Yes No Fillable Fileable

Economic Development Business and Industry Development

 

100 100
   
Private Sector Businesses or other for-profits
 
   100 %

  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 0 0 0 -1,200 1,200 0
Annual IC Time Burden (Hours) 0 0 0 -1,200 1,200 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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