Information Collection

Staffing Pattern

IC 175774 under ICR 198508-3067-006 · OMB 3067-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0090 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STAFFING PATTERN	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	85-17				No	No
Form	FEMA				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,644	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	Previously Approved
Annual Number of Responses for this IC	2,750	106	2,644
Annual IC Time Burden (Hours)	1,375	53	1,322
Annual IC Cost Burden (Dollars)	0	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.