Information Collection

ETA Financial Agency Agreement

IC 43831 under ICR 201208-1510-002 · OMB 1510-0073.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMS 111 Financial Agency Agreement ETA Financial Agency Agreement	Form
FMS 111 Financial Agency Agreement ETA Forms - 1510-0073.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 208.5

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMS 111				No		Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	15	5
Annual IC Time Burden (Hours)	40	30	10
Annual IC Cost Burden (Dollars)	458	458	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.

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