Information Collection

ETA Financial Agency Agreement

IC 43831 under ICR 200904-1510-005 · OMB 1510-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMS 111 Financial Agency Agreement ETA Financial Agency Agreement	Form
FMS 111 Financial Agency Agreement ETA Forms - 1510-0073.pdf	Form

IC Title:

ETA Financial Agency Agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	FMS 111				No		Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	10	10
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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