Information Collection

Impact Highlight Reports

IC 259134 under ICR 202410-1505-001 · OMB 1505-0275.

Documents and Forms

Document Name Document Type
Impact Highlight Reports Form and Instruction
Voluntary Initiative Report Voluntary Initiative Report Template 10.3.2024.docx Form and Instruction
Voluntary Initiative Report Voluntary Initiative Report Template 10.3.2024.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Impact Highlight Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Voluntary Initiative Report	Voluntary Initiative Report Template 10.3.2024.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: 5	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.