Information Collection

Annual Compliance Certification

IC 194365 under ICR 202505-0648-006 · OMB 0648-0174.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Compliance Certification	Form
Annual Compliance Certification Annual Compliance Certification	Form
Annual Compliance Certification Annual Certification Template 03-06-2025.docx	Form
Annual Compliance Certification Annual Certification Template 03-06-2025.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 15 CFR 960 Subpart B

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	N/A				Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: NOAA-11

FR Citation: 80 FR 79248

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	80	29	51
Annual IC Time Burden (Hours)	240	138	102
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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