Information Collection

Certification Regarding Economic Conditions (for Eligible Tribal Governments)

IC 254454 under ICR 202606-1505-004 · OMB 1505-0276.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Tribal Certification Regarding Economic Conditions Certification Regarding Economic Conditions (for Eligible Tribal Governments)	Form and Instruction
Tribal Certification Regarding Economic Conditions Tribal Certification Regarding Economic Conditions_Emergency.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

N/A

Is this a Common Form? No

IC Status: Removed

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 581

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-581	581
Annual IC Time Burden (Hours)	-581	581
Annual IC Cost Burden (Dollars)	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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