Information Collection

Nondiscrimination On The Basis Of Age In Federally Assisted Program Of Doi -- 43 Cfr 17, Subpart C

IC 118863 under ICR 199208-1084-001 · OMB 1084-0027.

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IC Title:

NONDISCRIMINATION ON THE BASIS OF AGE IN FEDERALLY ASSISTED PROGRAM OF DOI -- 43 CFR 17, SUBPART C

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: 500

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
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	10,250	10,250
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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