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 368 9568 0 Form and Instruction CMS-10392 Reporting Templates
Form and Instruction CMS-10392 CO-OP FOA
Audits Unchanged 23 2760 0 Form and Instruction CMS-10392 CO-OP FOA
Core Contracts Unchanged 23 115 0 Form and Instruction CMS-10392 CO-OP FOA
Disbursement Requests Unchanged 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 and Instruction CMS-10392 CO-OP FOA
Form and Instruction CMS-10392 Monthly Reporting Guidance
Form and Instruction CMS-10392 Monthly Reporting Template
Form and Instruction CMS-10392 Semi-Annual Reporting Template
Form and Instruction CMS-10392 Quarterly Financial Report
Loan Agreement Acceptance Unchanged 24 384 0 Form and Instruction CMS-10392 CO-OP FOA
Reconsiderations & Appeals Unchanged 103 1545 0 Form and Instruction CMS-10392 CO-OP FOA
Recordkeeping Unchanged 23 1380 0 Form and Instruction CMS-10392 CO-OP FOA
Request for additional funding Modified 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 Unchanged 147 75852 0 Form and Instruction CMS-10392 CO-OP FOA
Updated Business Plans Modified 10 160 0 Form and Instruction CMS-10392 CO-OP FOA
Form and Instruction CMS-10392 Project Plan without Resources
Form and Instruction CMS-10392 Project Plan with Resources
Total burden requested under this ICR: 802 93320 0  
To view an IC, click on IC Title