Information Collection

0 Disclosure Statement

IC 130913 under ICR 199004-1545-003 · OMB 1545-0889.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0889 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	0 DISCLOSURE STATEMENT	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	8275				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000,000	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	3,000,000	2,999,900	100
Annual IC Time Burden (Hours)	14,370,000	14,369,420	580
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.