Information Collection

Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship

IC 30538 under ICR 200107-3060-005 · OMB 3060-0655.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship	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: 240	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	240	80	160
Annual IC Time Burden (Hours)	240	80	160
Annual IC Cost Burden (Dollars)	3,000	0	3,000

Documents for IC

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