Information Collection

Notice of Enrollment Rights

IC 13440 under ICR 200003-1210-005 · OMB 1210-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0101 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Notice of Enrollment Rights	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: 2,600,000	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	9,602,000	8,230,040	1,371,960
Annual IC Time Burden (Hours)	7,200	1,485	5,715
Annual IC Cost Burden (Dollars)	841,000	111,000	730,000

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.