Information Collection

SSBCI Allocation Agreement Annual Reports

IC 197398 under ICR 201608-1505-006 · OMB 1505-0227.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0227 can be found here:

Documents and Forms

Document Name Document Type
SSBCI Allocation Agreement Annual Reports Form
SSBCI State 2016 Annual Report Template 1505-0227_SSBCI_annual_report_template_2016.xlsx Form
SSBCI State Final Summary of Program Performance 1505-0227_SSBCI_program_performance_summary_2016.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSBCI Allocation Agreement Annual Reports	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
Form	n/a	SSBCI State 2016 Annual Report Template	1505-0227_SSBCI_annual_report_template_2016.xlsx		Yes	Yes	Fillable Fileable
Form	n/a	SSBCI State Final Summary of Program Performance	1505-0227_SSBCI_program_performance_summary_2016.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

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: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	304	304
Annual IC Cost Burden (Dollars)	0	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.