Information Collection

Transitional Facilities Petitions

IC 136733 under ICR 198002-1903-001 · OMB 1903-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1903-0019 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

TRANSITIONAL FACILITIES PETITIONS

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ERA 300-R,				No	No
Form	A, B, & C				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60	30	30
Annual IC Time Burden (Hours)	990	30	960
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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