Information Collection

Ordinances, Background Investigations, and Licenses 558.4(e)

IC 208609 under ICR 201609-3141-002 · OMB 3141-0003.

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Information Collection (IC) Details

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IC Title:	Ordinances, Background Investigations, and Licenses 558.4(e)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 558.4(e)

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: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 92	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	358	-602	960
Annual IC Time Burden (Hours)	2,148	-3,612	5,760
Annual IC Cost Burden (Dollars)	6,348	1,106	5,242

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