View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Compliance Reporting and Recordkeeping
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screenshots
Baseline and Q3 Template Changes Screenshots 101420.docx
Yes
Yes
Fillable Fileable
Other-Screenshots
Q4 and Baseline 4112 Screenshots.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
Q4 4003-only screenshots.pdf
Yes
Yes
Fillable Fileable
Other-screenshots
Q4 4112_4003 screenshots.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
4003-4112 Combo Screenshots as of 05212021.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
4112 Screenshots as of 05202021.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
Q4 Baseline Screenshots as of 05192021.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
Q1 2021 4003 Only 05212021.pdf
Yes
Yes
Fillable Fileable
Other-Template
062921CARESActExecutiveCompInformationRequest_final.xlsx
Yes
Yes
Fillable Fileable
Other-additional question set
Additional Questions_PSP4003 Q3 2021_11.18.docx
Yes
Yes
Fillable Fileable
Form
NA
Q4 2021 Template - 4003 and 4112
40034112 Combo Q4 2021 Template Questions_v1.pdf
Yes
Yes
Fillable Fileable
Form
NA
Q4 2021 Template - 4003 Only
4003 Only Q4 2021 Template Questions_v1.pdf
Yes
Yes
Fillable Fileable
Form
NA
Q4 2021 Template - 4112 Only
4112 Only Q4 2021 Template Questions_v1.pdf
Yes
Yes
Fillable Fileable
Form
N/A
Quarterly Report Closeout Report
1505-0263 PSP Template Draft 2023-0906 v1.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,800
0
0
0
0
2,800
Annual IC Time Burden (Hours)
11,900
0
0
0
0
11,900
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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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