Application for Non-Profit Budget and Credit Counseling Agencies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0084 can be found here:

Documents and Forms

Document Name Document Type
Form xxx Application for Non-Profit Budget and Credit Counseling Agencies Form
xxx Appendix E: Activity Report for Approved Agencies (old f CC Application Appendix E (040306).doc Form
xxx Appendix E: Activity Report for Approved Credit Counseli New Appendix E.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Non-Profit Budget and Credit Counseling Agencies	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
Form	xxx	Appendix E: Activity Report for Approved Agencies (old form)	CC Application Appendix E (040306).doc		Yes	No	Fillable Printable
Form	xxx	Appendix E: Activity Report for Approved Credit Counseling Agencies	New Appendix E.pdf		Yes	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	8,000	8,000
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.