Information Collection

Supplemental Information To Be Furnished By Applicants For Faclilities Under This Subpart 90.607(b)(1) And (c)(1)

IC 175236 under ICR 198809-3060-015 · OMB 3060-0295.

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Documents and Forms

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IC Title:

SUPPLEMENTAL INFORMATION TO BE FURNISHED BY APPLICANTS FOR FACLILITIES UNDER THIS SUBPART 90.607(B)(1) AND (C)(1)

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

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

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	Previously Approved
Annual Number of Responses for this IC	2,028	2,000	28
Annual IC Time Burden (Hours)	507	500	7
Annual IC Cost Burden (Dollars)	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.