Information Collection

Private Sector

IC 186490 under ICR 200809-0970-001 · OMB 0970-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0353 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Private Sector	Form
0 survey Data Plan Sample.pdf	Form
Data Submission Plans 9-8-08.doc instructions	IC Document

IC Title:

Private Sector

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	0	survey	Data Plan Sample.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	44	44
Annual IC Time Burden (Hours)	7,722	7,722
Annual IC Cost Burden (Dollars)	75,372	75,372

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
instructions	Data Submission Plans 9-8-08.doc	09/08/2008

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