Information Collection

HUBZone Program Electronic Application, Recertificaiton and Program Examination

IC 35781 under ICR 202211-3245-001 · OMB 3245-0320.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
3245-0320 HUBZone APPLICATION PART 1 Screenshots (Kim) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other- HUBZone Screen shot applicati
3245-0320 HUBZone APPLICATION PART 1 Screenshots (Kim) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other- HUBZone Screen shot applicati
3245-0320 HUBZone APPLICATION PART 11 Screenshots (Kim) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone screen shot applicatio
3245-0320 HUBZone APPLICATION PART 11 Screenshots (Kim) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone screen shot applicatio
3245-0320 Calculator Screen Shots 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone screen shot Calculator
3245-0320 HUBZone Level 1 Program Examination Form and Instructions (1) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone level 1 Program Examin
3245-0320 HUBZone Level 1 Program Examination Form and Instructions (1) 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone level 1 Program Examin
3245-0320 HUBZone Level 2 Program Exam (Site Visit) Report Form 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone level 2 Program Exam S
3245-0320 HUBZone Level 2 Program Exam (Site Visit) Report Form 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone level 2 Program Exam S
3245-0320 HUBZone Recertification Screenshot_Updated 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone Recertification Screen
3245-0320 HUBZone Recertification Screenshot_Updated 11-29-2022.pdf www.sba.gov/hubzone/hubzoneapplication/index.htm	Other-HUBZone Recertification Screen

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

HUBZone Program Electronic Application, Recertificaiton and Program Examination

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	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other- HUBZone Screen shot application Part 1	3245-0320 HUBZone APPLICATION PART 1 Screenshots (Kim) 11-29-2022.pdf	http://www.sba.gov/hubzone/hubzoneapplication/index.htm	Yes	Yes	Paper Only
Other-HUBZone screen shot application part 11	3245-0320 HUBZone APPLICATION PART 11 Screenshots (Kim) 11-29-2022.pdf	http://www.sba.gov/hubzone/hubzoneapplication/index.htm	Yes	Yes	Paper Only
Other-HUBZone level 1 Program Examination Form	3245-0320 HUBZone Level 1 Program Examination Form and Instructions (1) 11-29-2022.pdf	http://www.sba.gov/hubzone/hubzoneapplication/index.htm	Yes	Yes	Paper Only
Other-HUBZone level 2 Program Exam Site Visit	3245-0320 HUBZone Level 2 Program Exam (Site Visit) Report Form 11-29-2022.pdf	http://www.sba.gov/hubzone/hubzoneapplication/index.htm	Yes	Yes	Paper Only
Other-HUBZone Recertification Screenshot	3245-0320 HUBZone Recertification Screenshot_Updated 11-29-2022.pdf	http://www.sba.gov/hubzone/hubzoneapplication/index.htm	Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,951

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,951	3,762	3,189
Annual IC Time Burden (Hours)	11,426	4,237	7,189
Annual IC Cost Burden (Dollars)	564,576	97,292	467,284

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.