Information Collection

Hometown News Release Form

IC 205749 under ICR 201206-0420-001 · OMB 0420-0553.

Documents and Forms

Document Name Document Type
Form PC-909.5 1a Hometown News Release Form Form and Instruction
PC-909.5 1a Hometown News Release Form Information for the Media 02122013.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hometown News Release Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PC-909.5 1a	Hometown News Release Form	Information for the Media 02122013.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: PC Volunteer Database Management System	FR Citation: 65 FR 53722

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.