Information Collection

Small Business Innovation Research/Small Business Technology Transfer Lifecycle Certification Form

IC 261628 under ICR 202609-0524-002 · OMB 0524-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0524-0053 SBIR STTR Lifecycle Cert form Small Business Innovation Research/Small Business Technology Transfer Lifecycle Certification Form	Form and Instruction
0524-0053 SBIR STTR Lifecycle Cert form 0524-0053 SBIR STTR Lifecycle Cert form_clean 10-29-2026.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	0524-0053				Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

Number of Respondents for Small Entity: 180

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	360	130	230
Annual IC Time Burden (Hours)	90	32	58
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].