Information Collection

Plan Deficiency Checksheet

IC 130196 under ICR 198110-1545-044 · OMB 1545-0604.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PLAN DEFICIENCY CHECKSHEET	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	6040, 6041	No	No
Form	6042, 6043,	No	No
Form	6044, 6045	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 71,000	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
Annual Number of Responses for this IC	213,000	213,000
Annual IC Time Burden (Hours)	213,000	213,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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