Information Collection

Nondiscrimination on the Basis of Disability in State and Local Government Services (Self-Evaluation).

IC 12900 under ICR 201005-1190-002 · OMB 1190-0006.

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Information Collection (IC) Details

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IC Title:	Nondiscrimination on the Basis of Disability in State and Local Government Services (Self-Evaluation).	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 28 CFR 35

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Prosecution and Litigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-7,990	8,000
Annual IC Time Burden (Hours)	60	-47,940	48,000
Annual IC Cost Burden (Dollars)	0	0	0

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