Information Collection

Referendum - Ballot

IC 193346 under ICR 201006-0581-002 · OMB 0581-0265.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0265 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SWL-ORB Referendum - Ballot	Form
SWL-ORB Official Referendum Ballot Referendum Ballot (SWL-ORB).doc	Form

IC Title:

Referendum - Ballot

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR Pt. 1217 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	SWL-ORB	Official Referendum Ballot	Referendum Ballot (SWL-ORB).doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 466

Number of Respondents for Small Entity: 96

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

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	93	93
Annual IC Time Burden (Hours)	23	23
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.