Information Collection

Advance Notice and Adequacy Certification for Reception Facilities

IC 20535 under ICR 200303-1625-047 · OMB 1625-0045.

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Documents and Forms

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Document Name	Document Type

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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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CG-5401A	No	No
Form	CG-5401B	No	No
Form	CG-5401C	No	No
Form	CG-5401	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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,182	4,182
Annual IC Time Burden (Hours)	1,215	1,215
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.

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