Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Standard Reporting Before Loan Repayment - Start-up/Solvency Loan(s) Recipients Modified 276 5520 0 Form and Instruction CMS-10392 Reporting Templates
Form and Instruction CMS-10392 CO-OP FOA
Audits Modified 23 2760 0 Form and Instruction CMS-10392 CO-OP FOA
Core Contracts New 23 115 0 Form and Instruction CMS-10392 CO-OP FOA
Disbursement Requests New 23 736 0 Form and Instruction CMS-10392 CO-OP FOA
Enhanced Reporting (Before Loan Repayment) - Start-up/Solvency Loan Recipients Modified 20 60 0 Form and Instruction CMS-10392 Reporting Templates
Form CMS-10392 Semi-Annual Report
Form and Instruction CMS-10392 Quarterly Financial Report
Form and Instruction CMS-10392 CO-OP FOA
Loan Agreement Acceptance Modified 24 384 0 Form and Instruction CMS-10392 CO-OP FOA
Reconsiderations & Appeals Modified 103 1545 0 Form and Instruction CMS-10392 CO-OP FOA
Recordkeeping Modified 23 1380 0 Form and Instruction CMS-10392 CO-OP FOA
Request for additional funding New 15 300 0 Form and Instruction CMS-10392 CO-OP FOA
Standard Reporting After Loan Repayment - Start-up/Solvency Loan Recipients Modified 23 460 0 Form and Instruction CMS-10392 Reporting Templates
Form and Instruction CMS-10392 CO-OP FOA
Start-up & Solvency Loan Application Modified 147 75852 0 Form and Instruction CMS-10392 CO-OP FOA
Updated Business Plans New 10 160 0 Form and Instruction CMS-10392 CO-OP FOA
Total burden requested under this ICR: 710 89272 0  
To view an IC, click on IC Title