Letter of Intent (LOI) Form - State, Local & Tribal Gov't

NIFA Application Kit

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0039 can be found here:

Documents and Forms

Document Name Document Type
Form 0524 - XXXX Letter of Intent (LOI) Form - State, Local & Tribal Gov't Form
0524 - XXXX Letter of Intent (LOI) Form NEW_LOI_Template (3).doc Form

Information Collection (IC) Details

IC Title:	Letter of Intent (LOI) Form - State, Local & Tribal Gov't	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 3019.53 p(b)(1-4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0524 - XXXX	Letter of Intent (LOI) Form	NEW_LOI_Template (3).doc		Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,858	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,858	4,858
Annual IC Time Burden (Hours)	9,716	9,716
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.