Information Collection

Baseline Questionnaire for Certified Local Governments

IC 182868 under ICR 200708-1024-001 · OMB 1024-0038.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0038 can be found here:

Documents and Forms

Document Name Document Type
Baseline Questionnaire for Certified Local Governments Form and Instruction
GPRA Baseline Questionnaire for CLGs CLG_Baseline_Questionnaire,_1024-0038[2][1].doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Baseline Questionnaire for Certified Local Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	None	GPRA Baseline Questionnaire for CLGs	CLG_Baseline_Questionnaire,_1024-0038[2][1].doc		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	275	275
Annual IC Time Burden (Hours)	116	116
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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