Information Collection

Application Form and Recordkeeping

IC 246081 under ICR 202107-1505-009 · OMB 1505-0267.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0267 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ECIP Application Application Form and Recordkeeping	Form and Instruction
OMB Screenshots for ECIP Lending Form v1.pptx	Other-screenshots
ECIP Application ECIPApplicationandInstructionsAmended_Final-8-5-2021.docx	Form and Instruction

IC Title:

Application Form and Recordkeeping

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				Yes	Yes	Fillable Fileable
Other-screenshots					Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

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	Previously Approved
Annual Number of Responses for this IC	1,100	1,100
Annual IC Time Burden (Hours)	367	367
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.

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