Information Collection

HUBZone Program Petition for Govenor-Designated Covered Areas

IC 238060 under ICR 202406-3245-003 · OMB 3245-0403.

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Information Collection (IC) Details

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IC Title:	HUBZone Program Petition for Govenor-Designated Covered Areas	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 13 CFR CFR126.104 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	53	0	53
Annual IC Time Burden (Hours)	265	0	265
Annual IC Cost Burden (Dollars)	15,342	15,342	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.