Information Collection

Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship

IC 30539 under ICR 200405-3060-006 · OMB 3060-0655.

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Documents and Forms

Documents and forms in this information collection
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IC Title:

Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

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	Previously Approved
Annual Number of Responses for this IC	240	0	240
Annual IC Time Burden (Hours)	240	0	240
Annual IC Cost Burden (Dollars)	4,000	1,000	3,000

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.