Quarterly Supplemental Report Schedules A & B***

Emergency Capital Investment Program Reporting

OMB: 1505-0275

IC ID: 259139

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Quarterly Supplemental Report Schedules A & B***
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A QSR Instructions BHC QSR Instructions BHC - 06.15.23.docx Yes Yes Fillable Fileable
Form and Instruction N/A QSR Instructions CU QSR Instructions CU - 06.15.23.docx Yes Yes Fillable Fileable
Form and Instruction N/A QSR Template BHC ECIP-Quarterly-Supplemental-Report-Template-B_HC_06122023 v11 (2).xlsx Yes Yes Fillable Fileable
Form and Instruction N/A QSR Template CU ECIP-Quarterly-Supplemental-Report-Template-CU_From_6142023 v11 (1).xlsx Yes Yes Fillable Fileable
Instruction QSR Instructions BHC - 06.23.23.docx Yes Yes Fillable Fileable

Economic Development Business and Industry Development

 

180 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 720 0 0 0 0 720
Annual IC Time Burden (Hours) 7,200 0 0 0 0 7,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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