Information Collection

272- form

IC 7751 under ICR 200709-0937-001 · OMB 0937-0200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PSC 272 summary.pdf	Other-form
PSC 272A.txt	Other-form

IC Title:

272- form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 205

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
Other-form			PSC 272 summary.pdf		No	No	Paper Only
Other-form			PSC 272A.txt		No	No	Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,240

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	Previously Approved
Annual Number of Responses for this IC	88,960	15,400	73,560
Annual IC Time Burden (Hours)	266,880	45,900	220,980
Annual IC Cost Burden (Dollars)	0	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.