Information Collection

State & Local Government Burden

IC 44861 under ICR 201203-0607-002 · OMB 0607-0444.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0444 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NC-99001 State & Local Government Burden	Form
Attachment C - NC-99001_I[2]_Instructions.pdf	Instruction
Attachment D - EC-G-L1_MU[2]_Sample Cover Letter.pdf	Other-Sample Cover Letter
NC-99001 2012 Report of Organization Attachment A - NC-99001_12_20120306_pm2[1][2]_3_7_12.pdf	Form

IC Title:

State & Local Government Burden

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	NC-99001	2012 Report of Organization	Attachment A - NC-99001_12_20120306_pm2[1][2]_3_7_12.pdf	Yes	Yes	Fillable Fileable
Instruction			Attachment C - NC-99001_I[2]_Instructions.pdf	Yes	Yes	Fillable Fileable
Other-Sample Cover Letter			Attachment D - EC-G-L1_MU[2]_Sample Cover Letter.pdf	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: 250

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 45 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	250	0	250
Annual IC Time Burden (Hours)	304	-1,933	2,237
Annual IC Cost Burden (Dollars)	0	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.