Information Collection

CCM Independent Listing Forms

IC 187354 under ICR 200812-0607-001 · OMB 0607-0951.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D-1302 (PR) CCM Independent Listing Book (Puerto Rico) CCM Independent Listing Forms	Form
Form D-1302 CCM Independent Listing Book (U.S.) CCM Independent Listing Forms	Form
Attachment C - U.S. Confidentiality Notice, Form D-31(CCM-IL).pdf	Other-U.S. Confidentiality Notice
Attachment D -Puerto Rico Confidentiality Notice, Form D-31(CCM-IL)PR.pdf	Other-Puerto Rico Confidentiality No
D-1302 CCM Independent Listing Book (U.S.) Attachment A - U.S. Independent Listing Book, Form D-1302.pdf	Form
D-1302 (PR) CCM Independent Listing Book (Puerto Rico) Attachment B - D-1302 Spanish Translation and PR address information.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	D-1302	No	Paper Only
Form	D-1302 (PR)	No	Paper Only
Other-U.S. Confidentiality Notice		No	Paper Only
Other-Puerto Rico Confidentiality Notice		No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,156,900	1,156,900
Annual IC Time Burden (Hours)	38,563	38,563
Annual IC Cost Burden (Dollars)	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.

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