Return Post Card for the Community Based Outlet Participants

ICR 201007-1545-054

OMB: 1545-1703

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2010-07-20
Supporting Statement A
2010-07-20
IC Document Collections
ICR Details
1545-1703 201007-1545-054
Historical Active 200704-1545-012
TREAS/IRS ah-1703-054
Return Post Card for the Community Based Outlet Participants
Extension without change of a currently approved collection   No
Regular
Approved without change 09/23/2010
Retrieve Notice of Action (NOA) 07/29/2010
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved 09/30/2010
10,000 0 10,000
834 0 834
0 0 0

This post card is used by the Community Based Outlet Program (CBOP) participants (i.e. grocery stores/pharmacies, copy centers, corporations, credit unions, city/county governments) to order products. The post card will be returned to the Western Area Distribution Center for processing.

None
None

Not associated with rulemaking

  75 FR 15489 03/29/2010
75 FR 44308 07/28/2010
No

1
IC Title Form No. Form Name
Return Post Card for the Community Based Outlet Participants 12815 Return Post Card for the Community Based Outlet Participants.

  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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 834 834 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,200
No
No
No
Uncollected
No
Uncollected
Jeanne Janis 202 636-7711

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/29/2010


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