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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Quarterly Supplemental Report Schedules A & B***
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form and Instruction
N/A
QSR Instructions BHC
QSR Instructions BHC - 06.15.23.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
QSR Instructions CU
QSR Instructions CU - 06.15.23.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
QSR Template BHC
ECIP-Quarterly-Supplemental-Report-Template-B_HC_06122023 v11 (2).xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
QSR Template CU
ECIP-Quarterly-Supplemental-Report-Template-CU_From_6142023 v11 (1).xlsx
Yes
Yes
Fillable Fileable
Instruction
QSR Instructions BHC - 06.23.23.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
180
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
720
0
720
0
0
0
Annual IC Time Burden (Hours)
7,200
0
7,200
0
0
0
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.