Information Collection

Return Post Card for the Community Based Outlet Participants

IC 41062 under ICR 200108-1545-066 · OMB 1545-1703.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1703 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Return Post Card for the Community Based Outlet Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	12814	No	No
Form	12813	No	No
Form	12816	No	No
Form	12815	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,350	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	38,350	20,350	18,000
Annual IC Time Burden (Hours)	3,195	1,694	1,501
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.