Information Collection

SSBCI Allocation Agreement Annual Reports

IC 197398 under ICR 201611-1505-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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
SSBCI State 2016 Annual Report Template 1505-0227_SSBCI_Annual_Report_Template_2016_REVISED.xlsx	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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
Form	n/a	SSBCI State 2016 Annual Report Template	1505-0227_SSBCI_Annual_Report_Template_2016_REVISED.xlsx	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 %

table that charts list of burden
	Approved	Previously Approved
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

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.