Information Collection

SBIR Program Application Cover Sheet

IC 212569 under ICR 201408-0693-001 · OMB 0693-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0072 can be found here:

Documents and Forms

Document Name Document Type
cover.docx Other-Application Cover Sheet

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SBIR Program Application Cover Sheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application Cover Sheet			cover.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 100

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.