Information Collection

State Agents

IC 178909 under ICR 201602-0581-004 · OMB 0581-0191.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0191 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AMS-33 State Agents	Form
Narrative Report.docx	Other-Report
Spreadsheet of Operations Reimbursed.docx	Other-Report
AMS-33 AMS Agreement Face Sheet AMS-33.docx	Form

IC Title:

State Agents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 205

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AMS-33	AMS Agreement Face Sheet	AMS-33.docx	Yes	No	Paper Only
Other-Report			Narrative Report.docx	No		Paper Only
Other-Report			Spreadsheet of Operations Reimbursed.docx	No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	226	224	2
Annual IC Time Burden (Hours)	4,325	4,270	55
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.