Information Collection

State Agents

IC 178909 under ICR 201602-0581-004 · OMB 0581-0191.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0191 can be found here:

Documents and Forms

Document Name Document Type
Form AMS-33 State Agents Form
Narrative Report.docx Other-Report
Spreadsheet of Operations Reimbursed.docx Other-Report
AMS-33 AMS Agreement Face Sheet AMS-33.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 205

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AMS-33	AMS Agreement Face Sheet	AMS-33.docx	Yes	No	Paper Only
Other-Report			Narrative Report.docx	No		Paper Only
Other-Report			Spreadsheet of Operations Reimbursed.docx	No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	226	224	2
Annual IC Time Burden (Hours)	4,325	4,270	55
Annual IC Cost Burden (Dollars)	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.