Information Collection

CHIPS Streamline Supply Chain Full Application

IC 262825 under ICR 202310-0693-001 · OMB 0693-0097.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screenshots - Streamlined Full App Final.pdf	Other-ICR Screen Shots
Screenshots - Streamlined Full App Final.pdf	Other-ICR Screen Shots
Statement B - Streamlined Supply Chain.docx Part B	IC Document
Statement B - Streamlined Supply Chain.docx Part B	IC Document
Statement A - Streamlined Supply Chain V3.docx Supporting Statement	IC Document
Statement A - Streamlined Supply Chain V3.docx Supporting Statement	IC Document

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ICR Screen Shots			Screenshots - Streamlined Full App Final.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: 70

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	2,940	2,940
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Part B	Statement B - Streamlined Supply Chain.docx	10/16/2023
Supporting Statement	Statement A - Streamlined Supply Chain V3.docx	10/18/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.