Information Collection

Utility Use and Occupancy Agreements

IC 25941 under ICR 200410-2125-003 · OMB 2125-0522.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Utility Use and Occupancy Agreements

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.	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: 6,700

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	69,000	69,000
Annual IC Time Burden (Hours)	414,000	414,000
Annual IC Cost Burden (Dollars)	69,000	69,000

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.