Information Collection

Service Obligation Compliance Report

IC 142892 under ICR 198803-2133-001 · OMB 2133-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0509 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	SERVICE OBLIGATION COMPLIANCE REPORT	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MA-930				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,164	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,164	414	750
Annual IC Time Burden (Hours)	582	207	375
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.