Information Collection

Emergency Revisions to CCC-605 for Establishing Online Centralized Certificate Redemptions

IC 1539 under ICR 200112-0560-002 · OMB 0560-0218.

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IC Title:

Emergency Revisions to CCC-605 for Establishing Online Centralized Certificate Redemptions

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CCC-COTTON-A-1	Yes	Yes
Form	CCC-605	Yes	Yes
Form	CCC-COTTON-A-5	Yes	Yes
Form	CCC-COTTON-A	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 12 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,000	18,000
Annual IC Time Burden (Hours)	14,880	14,880
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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