Information Collection Request

Simple Network Application Process and Multipurpose Application Form

ICR 201105-0694-002 · OMB 0694-0088 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Justification to Merge 0694-0129.w-0088.080811.doc Justification for No Material/Nonsubstantive Change Uploaded 2011-08-09 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2013 07/31/2013 07/31/2013
25,064 0 25,059
17,996 0 17,977
120,951 0 120,688





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 25,064 25,059 0 5 0 0
Annual Time Burden (Hours) 17,996 17,977 0 19 0 0
Annual Cost Burden (Dollars) 120,951 120,688 0 263 0 0


Reginfo record details
  No