Information Collection

Advance Notice and Adequacy Certification for Reception Facilities

IC 25317 under ICR 200111-2115-004 · OMB 2115-0543.

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Information Collection (IC) Details

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IC Title:	Advance Notice and Adequacy Certification for Reception Facilities	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.	Available Electronically?	Can Be Submitted Electronically?
Form	CG-5401B	No	No
Form	CG-5401A	No	No
Form	CG-5401	No	No
Form	CG-5401C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,137	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	4,182	4,181	1
Annual IC Time Burden (Hours)	1,215	-538	1,753
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.