Information Collection

Promissory Note and Loan Agreement

IC 199910 under ICR 201409-3133-001 · OMB 3133-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0138 can be found here:

Documents and Forms

Document Name Document Type
2014 Loan Agreement Letterhead v3.docx www.cybergrants.com Other-Agreement
2014 Promissory Note Letterhead v2.docx www.cybergrants.com Other-Promissory Note

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Promissory Note and Loan Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 705.6(2)(g)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Agreement			2014 Loan Agreement Letterhead v3.docx	www.cybergrants.com	Yes	Yes	Fillable Printable
Other-Promissory Note			2014 Promissory Note Letterhead v2.docx	www.cybergrants.com	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	10	5
Annual IC Time Burden (Hours)	45	25	20
Annual IC Cost Burden (Dollars)	1,350	1,350	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.