Information Collection

Technical Assistance (TA) Grant Program Application

IC 254167 under ICR 202412-1505-001 · OMB 1505-0227.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1505-0227 SSBCI Technical Assistance Application Text 2022-06-06.docx	Other-Application for Technical Assi
1505-0227 SSBCI Technical Assistance Application Text 2022-06-06.docx	Other-Application for Technical Assi

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-Application for Technical Assistance					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: 138

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	138	138
Annual IC Time Burden (Hours)	552	552
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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