Information Collection

Applicant's Certification that it Does not Support Terrorist Organizations or Individuals

IC 886 under ICR 200702-0412-005 · OMB 0412-0565.

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Information Collection (IC) Details

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IC Title:	Applicant's Certification that it Does not Support Terrorist Organizations or Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 226

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	93,000	93,000

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