Information Collection Request

Consolidated State Application

ICR 201110-1810-004 · OMB 1810-0576 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Consolidated State Application Form and Instruction Modified Available
Att_Consolidated state applicaiton_Supporting Statement_2011 9-26-11 (2).doc Supporting Statement A Uploaded 2011-10-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
21256 Consolidated State Application Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2014 36 Months From Approved 11/30/2011
30 0 52
2,400 0 38,532
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Consolidated State Application N/A N/A

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 30 52 0 -22 0 0
Annual Time Burden (Hours) 2,400 38,532 0 -36,132 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No