Information Collection

Notice of Appeal from a Decision of an Adjudicating Official in a Practitioner Disciplinary Case

IC 12689 under ICR 200603-1125-002 · OMB 1125-0008.

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Information Collection (IC) Details

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IC Title:	Notice of Appeal from a Decision of an Adjudicating Official in a Practitioner Disciplinary Case	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	EOIR-45				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	50	0	50
Annual IC Cost Burden (Dollars)	5,000	5,000	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.