Information Collection

Technical Assistance (TA) Grant Program Application

IC 254167 under ICR 202206-1505-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
1505-0227 SSBCI Technical Assistance Application Text 2022-06-06.docx Other-Application for Technical Assi
1505-0227 SSBCI Technical Assistance Application Text 2022-06-06.docx Other-Application for Technical Assi

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Technical Assistance (TA) Grant Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Application for Technical Assistance			1505-0227 SSBCI Technical Assistance Application Text 2022-06-06.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,000	2,000
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.