Information Collection

MBNQA Eligibility Form and Award Application

IC 218275 under ICR 202401-0693-005 · OMB 0693-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2024 Award Application Screen Shots.docx	Other-Collection Instrument
SORN Dept. 18.docx SORN Commerce/Dept-18	IC Document
SORN Dept. 23.docx SORN Commerce/Dept-23	IC Document
Privacy Act Statement.docx Privacy Act Statement	IC Document

IC Title:

MBNQA Eligibility Form and Award Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-Collection Instrument			2024 Award Application Screen Shots.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: SORN Commerce/Dept-18 and Dept-23

FR Citation: 72 FR 6200

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	1,200	-1,035	2,235
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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