Information Collection

Part 63, Application and Supplemental Information Requirements

IC 29645 under ICR 201411-3060-020 · OMB 3060-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0149 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Part 63, Application and Supplemental Information Requirements	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 63.601 47 CFR 63.701 47 CFR 63.01 47 CFR 63.02 47 CFR 63.50 47 CFR 63.51 47 CFR 63.52 47 CFR 63.53 47 CFR 63.60 47 CFR 63.61 47 CFR 63.66 47 CFR 63.71 47 CFR 63.90 47 CFR 63.500 47 CFR 63.501 47 CFR 63.504 47 CFR 63.505 47 CFR 63.62 47 CFR 63.63 47 CFR 63.65

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.