Information Collection

Facilitiy License Standards

IC 182409 under ICR 200802-3141-001 · OMB 3141-0012.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Facilitiy License Standards	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 522

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: 75	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	13,125	13,125

Documents for IC

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