Information Collection

Final Application-Rehabilitation and Innovation Grants

IC 208324 under ICR 201308-1024-002 · OMB 1024-0048.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-912 Final Application-Rehabilitation and Innovation Grants	Form
10-912 Rehabilitation and Innovation Grant Agreement 10-912 - 2013.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 72.54

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	10-912	Rehabilitation and Innovation Grant Agreement	10-912 - 2013.pdf		No		Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	11	10	1
Annual IC Cost Burden (Dollars)	0	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.