Information Collection

ETA Financial Agency Agreement

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

Documents and Forms

Document Name Document Type
Form FMS 111 ETA Financial Agency Agreement Form
FMS 111 Financial Agency Agreement ETA Forms - 1510-0073.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ETA Financial Agency Agreement	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMS 111	Financial Agency Agreement	ETA Forms - 1510-0073.pdf		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 %

	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

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.