Information Collection

Program application

IC 178443 under ICR 201903-1076-003 · OMB 1076-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0020 can be found here:

Documents and Forms

Document Name Document Type
Form RGI10 Program application Form and Instruction
RGI10 Request for Loan Guarantee or Insurance RGI10 - Request for Guarantee or Insurance 2019.docx www.bia.gov/WhoWeAre/AS-IA/IEED/DCI/index.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Program application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 103.13 25 CFR 103.14 25 CFR 103.21 25 CFR 103.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RGI10	Request for Loan Guarantee or Insurance	RGI10 - Request for Guarantee or Insurance 2019.docx	http://www.bia.gov/WhoWeAre/AS-IA/IEED/DCI/index.htm	No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: BIA-13, Loan Management and Accounting System	FR Citation: 73 FR 40595

Number of Respondents: 65	Number of Respondents for Small Entity: 35

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Previously Approved
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	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.