Information Collection

Capital Purchase Program Participants Use of Funds Survey

IC 191563 under ICR 201309-1505-003 · OMB 1505-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2012 Use of Capital Survey.pdf	Other-Survey
Annual Use of Capital Survey - 2012 FAQs.pdf	Other-FAQ
Ethics Newsletter Fall 2012.pdf	Instruction
2012 CPP Participants Use of Capital Letter.pdf	Other-Letter
2012 CDCI Participants Use of Capital Letter.pdf	Other-Letter
2012 Use of Capital Email Text.docx	Other-Template

IC Title:

Capital Purchase Program Participants Use of Funds Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	2012 Use of Capital Survey.pdf	Yes	Yes	Fillable Fileable
Other-FAQ	Annual Use of Capital Survey - 2012 FAQs.pdf	Yes	No	Printable Only
Instruction	Ethics Newsletter Fall 2012.pdf	Yes	No	Printable Only
Other-Letter	2012 CPP Participants Use of Capital Letter.pdf	Yes	No	Printable Only
Other-Letter	2012 CDCI Participants Use of Capital Letter.pdf	Yes	No	Printable Only
Other-Template	2012 Use of Capital Email Text.docx	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	-390	640
Annual IC Time Burden (Hours)	20,000	-31,200	51,200
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.