Information Collection

Applications For Review Of Final Disciplinary Sanctions, Denials Of Membership, Participation Or Association, Or Prohibitions Or Limitations Of Access To Services Imposed...

IC 158922 under ICR 199209-3235-005 · OMB 3235-0204.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATIONS FOR REVIEW OF FINAL DISCIPLINARY SANCTIONS, DENIALS OF MEMBERSHIP, PARTICIPATION OR ASSOCIATION, OR PROHIBITIONS OR LIMITATIONS OF ACCESS TO SERVICES IMPOSED...	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:

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: 13	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	Previously Approved
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	234	234
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.