Information Collection

Notice Of Participation

IC 109817 under ICR 198703-0910-009 · OMB 0910-0191.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0191 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	NOTICE OF PARTICIPATION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	35	20	15
Annual IC Time Burden (Hours)	105	60	45
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.