Information Collection

Media Label (5064) Preparation Instructions For Media Label (notice 210/5064)

IC 129657 under ICR 199102-1545-008 · OMB 1545-0295.

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Information Collection (IC) Details

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IC Title:	MEDIA LABEL (5064) PREPARATION INSTRUCTIONS FOR MEDIA LABEL (NOTICE 210/5064)	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	NOTICE 210				No	No
Form	5064				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	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	60,000	60,000
Annual IC Time Burden (Hours)	5,106	5,106
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.