Information Collection Request

Collection of State Administrative Records Data

ICR 201608-0607-005 · OMB 0607-0995 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
OMB Form 89-I Collection of State Records Data.pdf Supplementary Document Uploaded 2016-08-26 Available
Supporting Statement B_5.4.16_ja_v2.docx Supporting Statement B Uploaded 2016-08-26 Available
Census Administrative Records Request Supporting Statement A_rev.docx Supporting Statement A Uploaded 2016-12-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2019 36 Months From Approved
51 0 0
75 0 0
80,325 0 0






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 51 0 0 51 0 0
Annual Time Burden (Hours) 75 0 0 75 0 0
Annual Cost Burden (Dollars) 80,325 0 0 80,325 0 0


Reginfo record details
  No