Information Collection

Industrial Base Program Industrial Facility Survey

IC 165151 under ICR 199404-0704-005 · OMB 0704-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

INDUSTRIAL BASE PROGRAM INDUSTRIAL FACILITY SURVEY

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

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
Form	DD X120-2				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,050

Number of Respondents for Small Entity: 0

Affected Public:

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,050	2,050
Annual IC Time Burden (Hours)	4,100	4,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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