Information Collection

Federalwide Assurance (FWA)

IC 10411 under ICR 200801-0990-002 · OMB 0990-0278.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0278 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0278FWA Form - International - Proposed January 08 (2).doc	Other-instrument
0990-0278FWA Form-US-Current expires 1-31-08.docm	Other-instrument
0990-0278Individual Investigator Agreement January 08.doc	Instruction
0990-0278-FWA Form-US-Proposed January 08 (2).doc	Other-instrument
0990-0278FWA Terms-Current Janauray 08 (2).doc	Other-instrument
0990-0278FWA Terms-Proposed January 08.docm	Instruction

IC Title:

Federalwide Assurance (FWA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 46

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	0990-0278Individual Investigator Agreement January 08.doc	No	No	Paper Only
Other-instrument	0990-0278-FWA Form-US-Proposed January 08 (2).doc	No	No	Paper Only
Other-instrument	0990-0278FWA Terms-Current Janauray 08 (2).doc	No	No	Paper Only
Instruction	0990-0278FWA Terms-Proposed January 08.docm	No	No	Paper Only
Other-instrument	0990-0278FWA Form - International - Proposed January 08 (2).doc	No	No	Paper Only
Other-instrument	0990-0278FWA Form-US-Current expires 1-31-08.docm	No	No	Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	-10,000	30,000
Annual IC Time Burden (Hours)	15,000	-7,500	22,500
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.