Information Collection

Allocation Agreement for Participating Municipalities

IC 200705 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
SSBCI Allocation Agreement Agreement for Single Municipality vCLEARED.doc	Other-Agreement
SSBCI Allocation Agreement for Joint Municipal Applications vCLEARED.docx	Other-Agreement

IC Title:

Allocation Agreement for Participating Municipalities

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Agreement			SSBCI Allocation Agreement Agreement for Single Municipality vCLEARED.doc		No		Printable Only
Other-Agreement			SSBCI Allocation Agreement for Joint Municipal Applications vCLEARED.docx		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	4	4
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.