Information Collection

Integrated Review Schedule

IC 115283 under ICR 198505-0960-009 · OMB 0960-0313.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

INTEGRATED REVIEW SCHEDULE

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	SSA-4357	No	No
Form	HCFA-301	No	No
Form	FNS-380-1	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 82,000

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	82,000	60	1,359	80,581
Annual IC Time Burden (Hours)	82,000	1,419	32,241	48,340
Annual IC Cost Burden (Dollars)	0	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.