Information Collection

Limited Facility Report

IC 225051 under ICR 201701-3095-001 · OMB 3095-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 16016 Limited Facility Report	Form and Instruction
NA Form 16016 Limited Facility Report na-16016_Limited Facility Report FINAL 9.22.16TEF.pdf	Form and Instruction

IC Title:

Limited Facility Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form and Instruction	NA Form 16016	Limited Facility Report	na-16016_Limited Facility Report FINAL 9.22.16TEF.pdf		No		Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	75	75
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.