Information Collection

Limited Facility Report

IC 225051 under ICR 202004-3095-002 · OMB 3095-0073.

Documents and Forms

Document Name Document Type
Form NA Form 16016 Limited Facility Report Form and Instruction
NA Form 16016 Limited Facility Report na-16016_DRAFT_2020.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Limited Facility Report	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 and Instruction	NA Form 16016	Limited Facility Report	na-16016_DRAFT_2020.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 %

	Approved	Change Due to Potential Violation of the PRA
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

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.