Information Collection

Regional Economic Development Data Collection Instrument

IC 259386 under ICR 202312-0610-002 · OMB 0610-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0610-0110 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Regional Impact survey - Clean - 12.14.23.docx	Other-Questions
Regional Impact survey - Clean - 12.14.23.docx	Other-Questions
Quarterly Survey Glossary and Completion Guide.pdf Quarterly Survey Glossary and Completion Guide	IC Document
Quarterly Survey Glossary and Completion Guide.pdf Quarterly Survey Glossary and Completion Guide	IC Document
Methodology One-Page Reference Sheet.pdf Methodology One-Page Reference Sheet	IC Document
Methodology One-Page Reference Sheet.pdf Methodology One-Page Reference Sheet	IC Document

IC Title:

Regional Economic Development Data Collection Instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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-Questions			Regional Impact survey - Clean - 12.14.23.docx		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: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	84	84
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Quarterly Survey Glossary and Completion Guide	Quarterly Survey Glossary and Completion Guide.pdf	03/30/2023
Methodology One-Page Reference Sheet	Methodology One-Page Reference Sheet.pdf	03/30/2023

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