Information Collection Request

Disclosure Statement (Form 8275), and Regulation Disclosure Statement (Form 8275-R)

ICR 201307-1545-029 · OMB 1545-0889 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8275 Form 8275 - Disclosure Statement Form Modified Available
Form 8275-R Form 8275-R - Regulation Disclosure Statement Form Modified Available
ombat1.doc Supplementary Document Uploaded 2010-05-04 Available
8275_and_8275-R.Sup[1].doc Supporting Statement A Uploaded 2013-07-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
39853 Form 8275 - Disclosure Statement Form Modified
192799 Form 8275-R - Regulation Disclosure Statement Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
666,666 0 666,666
3,716,664 0 3,716,664
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Form 8275 - Disclosure Statement 8275 Disclosure Statement
Form 8275-R - Regulation Disclosure Statement 8275-R Regulation Disclosure Statement

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 666,666 666,666 0 0 0 0
Annual Time Burden (Hours) 3,716,664 3,716,664 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No