Information Collection

Trade Adjustment Assistance for Firms

IC 3745 under ICR 202208-0610-001 · OMB 0610-0091.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Petition Certification Form (ED840P) Instructions.pdf	Instruction
Petition Certification Form (ED840P) Instructions.pdf	Instruction
ED-840P Petition Certification Form Petition Certification Form ED-840P.pdf	Form
ED-840P Petition Certification Form Petition Certification Form ED-840P.pdf	Form

IC Title:

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
Instruction			Petition Certification Form (ED840P) Instructions.pdf		Yes	Yes	Fillable Fileable
Form	ED-840P	Petition Certification Form	Petition Certification Form ED-840P.pdf		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: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	7,950	7,950
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.