Information Collection Request

State Licensing Survey

ICR 200909-1601-001 · OMB 1601-0011 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
190821 State Licensing Survey New

ICR Details

Reginfo record details
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  Inventory as of this Action Requested Previously Approved
04/30/2010 6 Months From Approved
56 0 0
560 0 0
0 0 0





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1
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IC Title Form No. Form Name
State Licensing Survey DHS Form 11000

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56 0 0 56 0 0
Annual Time Burden (Hours) 560 0 0 560 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No