Information Collection

Annual Performance Reporting and Certification of Section 1603

IC 189507 under ICR 201303-1505-001 · OMB 1505-0221.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0221 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SAMPLE ANNUAL REPORT.pdf	Other-Sample web-based report
TERMS AND CONDITIONS.pdf Terms and Conditions: Payments for Specified Energy Propety in Lieu of Tax Cedits	IC Document

IC Title:

Annual Performance Reporting and Certification of Section 1603

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Sample web-based report			SAMPLE ANNUAL REPORT.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150,000	0	149,000	1,000
Annual IC Time Burden (Hours)	37,500	35,500	0	2,000
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Terms and Conditions: Payments for Specified Energy Propety in Lieu of Tax Cedits	TERMS AND CONDITIONS.pdf	03/29/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.