Information Collection

Title III of the Americans with Disabilities Act, Certification of State and Local Government Accessibility Requirements

IC 12897 under ICR 201005-1190-001 · OMB 1190-0005.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1190-0005 Title III of the Americans with Disabilities Act, Certification of State and Local Government Accessibility Requirements	Form and Instruction
1190-0005 Americans with Disabilities Act Side-By-Side Comparison 1190-0005_Cert_Form.doc www.ada.gov/adasidebyside.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 36

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 and Instruction	1190-0005	Americans with Disabilities Act Side-By-Side Comparison Form	1190-0005_Cert_Form.doc	http://www.ada.gov/adasidebyside.doc	Yes	No	Printable Only

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Prosecution and Litigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	320	320
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.