CHIPS Statement of Interest Information Collection

Documents and Forms

Document Name Document Type
SOI Screenshots 8.14.23.pdf Other-Application
SOI Screenshots 8.14.23.pdf Other-Application
SOI Instructions Guide - 7.21.23.pdf Other-Instructions
SOI Instructions Guide - 7.21.23.pdf Other-Instructions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CHIPS Statement of Interest Information Collection	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
Other-Application			SOI Screenshots 8.14.23.pdf		Yes	Yes	Fillable Fileable
Other-Instructions			SOI Instructions Guide - 7.21.23.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	500	150	350
Annual IC Time Burden (Hours)	250	75	175
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.