Information Collection

2014 871 CG Questionnaire - 2014 873 NLM GHR Questionnaire

IC 213560 under ICR 201110-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 871 2014 871 CG Questionnaire - 2014 873 NLM GHR Questionnaire	Form and Instruction
871 2014 871 CG Questionnaire 2014 871 CG Questionnaire 10-15-2014.xlsx	Form and Instruction
872 2014 872 FEC Web Browse 2014 872 FEC Web Browse 10-17-14.xlsx	Form and Instruction
873 2014 873 NLM GLR Questionnaire 2014 873 NLM GHR_Questionnaire_10-17-14.xlsx	Form and Instruction

IC Title:

2014 871 CG Questionnaire - 2014 873 NLM GHR Questionnaire

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	871	2014 871 CG Questionnaire	2014 871 CG Questionnaire 10-15-2014.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	872	2014 872 FEC Web Browse	2014 872 FEC Web Browse 10-17-14.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	873	2014 873 NLM GLR Questionnaire	2014 873 NLM GHR_Questionnaire_10-17-14.xlsx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,800	10,800
Annual IC Time Burden (Hours)	450	450
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.