Information Collection

Extension Request / Reallocation Request

IC 212954 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Extension Request / Reallocation Request	Form
Grant Reimbursement Extension Request Grant Reimbursement Extension Request Form.docx www.cybergrants.com	Form

IC Title:

Extension Request / Reallocation Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 705

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	None	Grant Reimbursement Extension Request	Grant Reimbursement Extension Request Form.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: 29

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	29	29
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	870	870

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.