Information Collection

Key Contacts

IC 225476 under ICR 201701-0524-066CF · OMB 4040-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0010 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0010 Key Contacts Form
4040-0010 Key Contacts Key Contacts Form.pdf Form

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	Key Contacts	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0010	Key Contacts	Key Contacts Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 586	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	586	586
Annual IC Time Burden (Hours)	586	586
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.