Information Collection

SSBCI Application

IC 195749 under ICR 202111-1505-003 · OMB 1505-0227.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0227 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSBCI Application	Form
Enrolled Loan Tables (CAP).xlsx	Other-Enrolled Loan Tables
Enrolled Loan Tables (CAP).xlsx	Other-Enrolled Loan Tables
Leverage Tables.xlsx	Other-Leverage Tables
Leverage Tables.xlsx	Other-Leverage Tables
Section 8.1B_OCSP Additional Considerations.docx	Other-OCSP Additional Considerations
Section 8.1B_OCSP Additional Considerations.docx	Other-OCSP Additional Considerations
Section 8.1B_OCSP Program Information.docx	Other-OCSP Program Information
Section 8.1B_OCSP Program Information.docx	Other-OCSP Program Information
Section 9_Assurances of Compliance with Civil Rights Requirements.pdf	Other-Assurances of Compliance with
Section 9_Assurances of Compliance with Civil Rights Requirements.pdf	Other-Assurances of Compliance with
Section 9_Staff Compliance and Oversight.docx	Other-Staff Compliance and Oversight
Section 9_Staff Compliance and Oversight.docx	Other-Staff Compliance and Oversight
SSBCI Application 1505-0227 SSBCI Application Text.docx	Form
SSBCI Application 1505-0227 SSBCI Application Text.docx	Form

IC Title:

SSBCI Application

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	SSBCI Application	1505-0227 SSBCI Application Text.docx	Yes	Yes	Fillable Fileable
Other-Enrolled Loan Tables			Enrolled Loan Tables (CAP).xlsx	Yes	Yes	Fillable Fileable
Other-Leverage Tables			Leverage Tables.xlsx	Yes	Yes	Fillable Fileable
Other-OCSP Additional Considerations			Section 8.1B_OCSP Additional Considerations.docx	Yes	Yes	Fillable Fileable
Other-OCSP Program Information			Section 8.1B_OCSP Program Information.docx	Yes	Yes	Fillable Fileable
Other-Assurances of Compliance with Civil Rights Requirements			Section 9_Assurances of Compliance with Civil Rights Requirements.pdf	Yes	Yes	Fillable Fileable
Other-Staff Compliance and Oversight			Section 9_Staff Compliance and Oversight.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,500	2,500
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.