Information Collection

Application for Technical Assistance

IC 265345 under ICR 202402-3015-001 · OMB 3015-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DFC-0016 Application for Technical Assistance	Form
DFC-0016 Application for Technical Assistance DFC_TA Application clean (002).docx	Form
DFC-0016 Application for Technical Assistance DFC_TA Application clean (002).docx	Form

IC Title:

Agency IC Tracking Number:

DFC-0016

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
Form	DFC-0016	Application for Technical Assistance	DFC_TA Application clean (002).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	250	250
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	28,125	28,125

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.