Information Collection

TIFIA Application Form - Exhibit C

IC 207926 under ICR 202502-2105-001 · OMB 2105-0569.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOT F 2326-2 TIFIA Application Form - Exhibit C	Form and Instruction
Form DOT F 2326-2 TIFIA_RRIF Application_Form TIFIA Application Form - Exhibit C	Form and Instruction
DOT F 2326-2 TIFIA_RRIF Application_Form 11 Draft TIFIA_RRIF Application_Form-508_final.docx	Form and Instruction
DOT F 2326-2 TIFIA_RRIF Application_Form 11 Draft TIFIA_RRIF Application_Form-508_final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

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	DOT F 2326-2				Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	12	-8	20
Annual IC Time Burden (Hours)	1,200	-800	2,000
Annual IC Cost Burden (Dollars)	0	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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