Information Collection

Technical Assistance (TA) Grant Program Annual Report (non-demographic data)

IC 264541 under ICR 202311-1505-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
SSBCI-Technical-Assistance-Reporting-Guidance 2023-06-07.pdf home.treasury.gov/system/files/136/SSBCI-Technical-Assistance-Reporting-Guidance.pdf	Other-Technical Assistance Reporting
SSBCI-Technical-Assistance-Reporting-Guidance 2023-06-07.pdf home.treasury.gov/system/files/136/SSBCI-Technical-Assistance-Reporting-Guidance.pdf	Other-Technical Assistance Reporting

IC Title:

Technical Assistance (TA) Grant Program Annual Report (non-demographic data)

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-Technical Assistance Reporting Guidance			SSBCI-Technical-Assistance-Reporting-Guidance 2023-06-07.pdf	https://home.treasury.gov/system/files/136/SSBCI-Technical-Assistance-Reporting-Guidance.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: 138

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,700	20,700
Annual IC Time Burden (Hours)	3,105	3,105
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.