Information Collection

Application For Fede Civil Rights Act

IC 171095 under ICR 197901-1810-002 · OMB 1810-0004.

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR FEDE CIVIL RIGHTS ACT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	OE 296				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 341	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	341	-159	500
Annual IC Time Burden (Hours)	8,525	-9,875	18,400
Annual IC Cost Burden (Dollars)	0	0	0

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