Application for Non-Profit Budget and Credit Counseling Agencies

Documents and Forms

Document Name Document Type
Application for Non-Profit Budget and Credit Counseling Agencies Form
2016 CC Application Instructions.docx Instruction
2016 CC Application Instructions.docx Instruction
APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDI 2016 CC Application.docx Form
APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDI 2016 CC Application.docx Form
Appendix A: Acknowledgments, Agreements, and Declaration CC Appendix A.doc Form
Appendix A: Acknowledgments, Agreements, and Declaration CC Appendix A.doc Form
Appendix B: Judicial Districts CC Appendix B.docx Form
Appendix B: Judicial Districts CC Appendix B.docx Form
Appendix C: Business Locations CC Appendix C.doc Form
Appendix C: Business Locations CC Appendix C.doc Form
Appendix D: Matrix of Current Counselors CC Appendix D.doc Form
Appendix D: Matrix of Current Counselors CC Appendix D.doc Form
Appendix E: Activity Report for Approved Credit Counseli CC Appendix E.doc Form
Appendix E: Activity Report for Approved Credit Counseli CC Appendix E.doc Form
Revision 10.16.201 APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDI 1105-0084 Collection Instrument.pdf Form and Instruction
Revision 10.16.201 APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDI 1105-0084 Collection Instrument.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Non-Profit Budget and Credit Counseling Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDIT COUNSELING AGENCY	2016 CC Application.docx	Yes	Yes	Printable Only
Form	NA	Appendix A: Acknowledgments, Agreements, and Declarations in Support of Application for Approval as a Nonprofit Budget and Credit Counseling Agency	CC Appendix A.doc	Yes	Yes	Fillable Printable
Form	NA	Appendix B: Judicial Districts	CC Appendix B.docx	Yes	Yes	Fillable Fileable
Form	NA	Appendix C: Business Locations	CC Appendix C.doc	Yes	Yes	Fillable Fileable
Form	NA	Appendix D: Matrix of Current Counselors	CC Appendix D.doc	Yes	Yes	Fillable Fileable
Form	NA	Appendix E: Activity Report for Approved Credit Counseling Agencies	CC Appendix E.doc	Yes	Yes	Fillable Printable
Instruction			2016 CC Application Instructions.docx	Yes	No	Fillable Fileable
Form and Instruction	Revision 10.16.2019 1105-0084	APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDIT COUNSELING AGENCY	1105-0084 Collection Instrument.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 86	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	86	86
Annual IC Time Burden (Hours)	362	362
Annual IC Cost Burden (Dollars)	4,300	4,300

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.