Information Collection

Application and Reporting Requirement - State Cumulative Products Table

IC 182876 under ICR 201105-1024-001 · OMB 1024-0038.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0038 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application and Reporting Requirement - State Cumulative Products Table	Form
Cumulative Products Table HPF Cumulative Products Table.doc	Form
Outlay and Effort.doc Outlay and Effort	IC Document

IC Title:

Application and Reporting Requirement - State Cumulative Products Table

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	None	Cumulative Products Table	HPF Cumulative Products Table.doc		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	59	0	0	59
Annual IC Time Burden (Hours)	440	0	112	328
Annual IC Cost Burden (Dollars)	769	769	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Outlay and Effort	Outlay and Effort.doc	05/31/2011

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