Information Collection

Financial Status Report or Equivalent

IC 861 under ICR 200003-0412-002 · OMB 0412-0552.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Financial Status Report or Equivalent	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: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	320	0	320
Annual IC Time Burden (Hours)	5,920	800	5,120
Annual IC Cost Burden (Dollars)	133,000	0	133,000

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.