Information Collection

Regional Economic Development Data Collection Instrument

IC 259386 under ICR 202601-0610-001 · OMB 0610-0110.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EDA Regional Impact Survey OMB No 0610-0110_CLEAN 2026.docx	Other-Survey
Quarterly Survey Glossary and Completion Guide.pdf Quarterly Survey Glossary and Completion Guide	IC Document
Methodology One-Page Reference Sheet.pdf Methodology One-Page Reference Sheet	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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-Survey					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: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	84	84
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Quarterly Survey Glossary and Completion Guide		03/30/2023
Methodology One-Page Reference Sheet		03/30/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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