Information Collection Request

Fee Waiver Request

ICR 201105-1125-001 · OMB 1125-0003 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 26 A Fee Waiver Request Form Modified Available
E-26a Supporting Statement(2).doc Supporting Statement A Uploaded 2011-09-30 Available
FR 30 day notice posted 2011-23241.pdf Supplementary Document Uploaded 2011-09-21 Available
E-26a Cover Letter to Lynn Murray.pdf Supplementary Document Uploaded 2011-06-01 Available
E-26a Example of Changes.pdf Supplementary Document Uploaded 2011-06-01 Available
E-26a Requested Changes.pdf Supplementary Document Uploaded 2011-06-01 Available
E-26a Authority.pdf Supplementary Document Uploaded 2011-06-01 Available
E-26a Paperwork Certification.pdf Supplementary Document Uploaded 2011-06-01 Available
OMB 83-I.pdf Supplementary Document Uploaded 2011-06-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
12674 Fee Waiver Request Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved 12/31/2011
5,970 0 1,500
5,970 0 1,500
59,700 0 15,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Fee Waiver Request 26 A Fee Waiver Request

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 5,970 1,500 0 0 4,470 0
Annual Time Burden (Hours) 5,970 1,500 0 0 4,470 0
Annual Cost Burden (Dollars) 59,700 15,000 0 0 44,700 0


Reginfo record details
  No