Section 95.1015, Disclosure Policies

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IC Title:	Section 95.1015, Disclosure Policies	Agency IC Tracking Number:	WT

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 95.1015 47 CFR 80.215 47 CFR Part 73, Subpart E 47 CFR 80.381 (To search for a specific CFR, visit the Code of Federal Regulations.)

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: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	26	-177	203
Annual IC Time Burden (Hours)	26	-177	203
Annual IC Cost Burden (Dollars)	1,300	-8,700	10,000

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