Information Collection

Capital Purchase Program Participants Use of Funds Survey

IC 191563 under ICR 201612-1505-002 · OMB 1505-0222.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Capital Purchase Program Participants Use of Funds Survey	Form
ANNUAL USE OF CAPITAL SURVEY - 2015 2015 Use of Capital Survey.pdf	Form
Annual Use of Capital Survey - 2015 FAQs.pdf ANNUAL USE OF CAPITAL SURVEY - 2015 FAQs	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form	NA	ANNUAL USE OF CAPITAL SURVEY - 2015	2015 Use of Capital Survey.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: 12

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12	-238	250
Annual IC Time Burden (Hours)	960	-19,040	20,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ANNUAL USE OF CAPITAL SURVEY - 2015 FAQs	Annual Use of Capital Survey - 2015 FAQs.pdf	12/19/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.