Information Collection

Quarterly And Annual Report Form

IC 154065 under ICR 199008-3120-002 · OMB 3120-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3120-0021 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	QUARTERLY AND ANNUAL REPORT FORM	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	MP-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	55	10	45
Annual IC Time Burden (Hours)	825	150	675
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.