Information Collection

Legal Certifications

IC 259135 under ICR 202606-1505-001 · OMB 1505-0275.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Required Certifications Legal Certifications	Form and Instruction
Form of Process and Controls Attestation of Independent Auditor Legal Certifications	Form
Required Certifications Required Certifications.docx	Form and Instruction
Form of Process and Controls Attestation of Independent 1505-0275 Auditor Process and Controls Attestation Revised.pdf	Form

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	N/A				Yes	Yes	Fillable Fileable
Form	N/A				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: 165

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	495	110	385
Annual IC Time Burden (Hours)	83	19	64
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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