Information Collection

Participant Data Form

IC 98841 under ICR 199307-0412-002 · OMB 0412-0538.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0412-0538 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PARTICIPANT DATA 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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35,000	34,700	300
Annual IC Time Burden (Hours)	6,025	192	5,833
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.