Information Collection

State Participation Program

IC 173144 under ICR 198904-2130-005 · OMB 2130-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0509 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STATE PARTICIPATION PROGRAM	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.	Available Electronically?	Can Be Submitted Electronically?
Form	5A, 10, 29,	No	No
Form	59A, 61, 65,	No	No
Form	FRA-F-74	No	No
Form	65A, 67, 68,	No	No
Form	68A, 69,	No	No
Form	29A, 33, 58,	No	No
Form	58A, 59,	No	No
Form	FRA-F-6180-5	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	9,806	9,806
Annual IC Cost Burden (Dollars)	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.