Information Collection

Bls/oshs Federal/state Statistical Grant (application Form)

IC 123710 under ICR 198311-1220-002 · OMB 1220-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

BLS/OSHS FEDERAL/STATE STATISTICAL GRANT (APPLICATION FORM)

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	STANDARD				No	No
Form	424				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	384	384
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.

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