Information Collection

Reviewer Background Information

IC 176282 under ICR 198107-3145-005 · OMB 3145-0022.

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Documents and Forms

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Document Name	Document Type

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IC Title:

REVIEWER BACKGROUND INFORMATION

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	428, 1028,	No	No
Form	1084,1090,	No	No
Form	1092,1093,	No	No
Form	1096,1105,	No	No
Form	& 1112	No	No
Form	1028	No	No
Form	428	No	No
Form	1084	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	4,166	4,166
Annual IC Cost Burden (Dollars)	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.