Trade Adjustment Assistance for Firms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0610-0091 can be found here:

Documents and Forms

Document Name Document Type
Form ED-840P Trade Adjustment Assistance for Firms Form
Petition Certification Form (ED840P) Instructions (7.31.2019) rev. 6.4.19.pdf Instruction
ED-840P Petition by a Firm for Certification of Eligibility to A Certification Form (ED840P)- Electronic Version (rev. 5.17.16) rev. 6.4.19.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Trade Adjustment Assistance for Firms	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	ED-840P	Petition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance	Certification Form (ED840P)- Electronic Version (rev. 5.17.16) rev. 6.4.19.pdf		Yes	Yes	Fillable Fileable
Instruction			Petition Certification Form (ED840P) Instructions (7.31.2019) rev. 6.4.19.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	-350	500
Annual IC Time Burden (Hours)	7,950	3,850	4,100
Annual IC Cost Burden (Dollars)	0	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.