Information Collection

Impact Highlight Reports

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0275 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Impact Highlight Reports	Form and Instruction
Voluntary Initiative Report 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A				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 %

table that charts list of burden
	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

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.

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