Application Form and Recordkeeping

Emergency Capital Investment Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0267 can be found here:

Documents and Forms

Document Name Document Type
Application Form and Recordkeeping Form and Instruction
Application Form and Recordkeeping Form and Instruction
Screenshots for ECIP Lending Form.pptx Other-Screenshots
Screenshots for ECIP Lending Form.pptx Other-Screenshots
ECIP Application Round Two - ECIP Application - draft version.docx Form and Instruction
ECIP Application Round Two - ECIP Application - draft version.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Application Form and Recordkeeping	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
Form and Instruction	N/A	ECIP Application	Round Two - ECIP Application - draft version.docx		Yes	Yes	Fillable Fileable
Other-Screenshots			Screenshots for ECIP Lending Form.pptx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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	25	25
Annual IC Time Burden (Hours)	8	8
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.