Information Collection

Section 3 Business Self Certification Application

IC 198631 under ICR 201502-2529-001 · OMB 2529-0052.

Documents and Forms

Document Name Document Type
Shot 1.jpg Other-Snape shot
Shot 2.JPG Other-Snap shot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Section 3 Business Self Certification Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Snape shot			Shot 1.jpg		No		Fillable Printable
Other-Snap shot			Shot 2.JPG		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100	Number of Respondents for Small Entity: 30

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	363	363
Annual IC Time Burden (Hours)	1,100	1,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.