Information Collection

Trade Adjustment Assistance for Firms

IC 3745 under ICR 201605-0610-001 · OMB 0610-0091.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0610-0091 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ED-840P Electronic Trade Adjustment Assistance for Firms	Form
Certification Form (ED840P) Instructions (5.17.16).pdf	Instruction
ED-840P Electronic Pettition by a Firm for Certification of Eligibility to Certification Form (ED840P)- Electronic Version (rev. 5.17.16).pdf	Form
ED-840P Print vers Petition by a Firm for Certification of Eligibilityto Ap Certification Form (ED840P) - Print Version (rev. 5.17.16).pdf	Form

IC Title:

Trade Adjustment Assistance for Firms

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ED-840P Electronic Version	Pettition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance	Certification Form (ED840P)- Electronic Version (rev. 5.17.16).pdf	Yes	Yes	Fillable Fileable
Form	ED-840P Print version	Petition by a Firm for Certification of Eligibilityto Apply for Trade Adjustment Assistance	Certification Form (ED840P) - Print Version (rev. 5.17.16).pdf	Yes	Yes	Fillable Printable
Instruction			Certification Form (ED840P) Instructions (5.17.16).pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	4,100	4,100
Annual IC Cost Burden (Dollars)	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.