Information Collection

US Department of the Interior, Applicant Background Survey

IC 11576 under ICR 200301-1091-001 · OMB 1091-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1091-0001 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	US Department of the Interior, Applicant Background Survey	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1935				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 560,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	560,000	440,000	120,000
Annual IC Time Burden (Hours)	46,480	36,520	9,960
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.