Information Collection

Maricopa County - Self Response

IC 214818 under ICR 201506-0607-003 · OMB 0607-0981.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form dd-1_15_121014_d7 dd-1_15_121014_d7 Maricopa County - Self Response	Form
2015 Census Test COMPASS Questions Wording for OMB submission 10242014.docx	Other-
Centurion Screenshots for 2015 Census Test.docx	Other-
dd-1_15_121014_d7 dd-1_15_121014_d7 dd-1_15_121014_d7.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-		Yes	Yes	Fillable Fileable
Other-		Yes	Yes	Fillable Fileable
Form	dd-1_15_121014_d7	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	90,000	90,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	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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