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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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