Information Collection

Certification of Material Events Form

IC 192127 under ICR 202508-1559-001 · OMB 1559-0037.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0036 Certification of Material Events Form	Form and Instruction
Form 0036 Certification of Material Events Form Certification of Material Events Form	Form and Instruction
0036 Certification of Material Events Form Certification of Material Event Form (8-27-2025).pdf	Form and Instruction
0036 Certification of Material Events Form Certification of Material Event Form (8-27-2025).pdf	Form and Instruction

IC Title:

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	0036				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: 325

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	650	450	200
Annual IC Time Burden (Hours)	163	113	50
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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