Responsible Data Use Request Form

MCC Restricted Data Use Application

OMB: 0414-0001

IC ID: 251392

Information Collection (IC) Details

View Information Collection (IC)

Responsible Data Use Request Form EP-001
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction EP-002 Restricted Data User Request Form Restricted Data Use Request Form_Final.pdf Website is not yet live Yes Yes Fillable Fileable Signable

Economic Development Business and Industry Development

 

50 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 50 0 0 0
Annual IC Time Burden (Hours) 33 0 33 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Restricted Data Use Agreement (RDUA) 21-UFA04024-VDE RDUA_10-15-21_FINAL (1).pdf 02/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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