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Representative and Address Provisions
Representative and Address Provisions
OMB: 0651-0035
IC ID: 4741
OMB.report
DOC/PTO
OMB 0651-0035
ICR 200508-0651-004
IC 4741
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:
2021-11-29 - Revision of a currently approved collection
2021-04-06 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Representative and Address Provisions
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
124
Yes
Yes
Form
84
Yes
Yes
Form
81
Yes
Yes
Form
124B
Yes
Yes
Form
PTO/SB/80
Yes
Yes
Form
122
Yes
Yes
Form
83
Yes
Yes
Form
125A
Yes
Yes
Form
82
Yes
Yes
Form
123
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
370,766
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
1 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
370,766
0
-410
16,171
0
355,005
Annual IC Time Burden (Hours)
23,668
0
167
-6,587
0
30,088
Annual IC Cost Burden (Dollars)
189,000
0
2,000
8,000
0
179,000
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.