Information Collection

Public completes instrument

IC 212363 under ICR 201702-1028-002 · OMB 1028-0109.

Documents and Forms

Document Name Document Type
Public completes instrument Form and Instruction
iCoast_instrument_May2017.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public completes instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	na	na	iCoast_instrument_May2017.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63,581	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	63,581	62,631	950
Annual IC Time Burden (Hours)	3,179	2,704	475
Annual IC Cost Burden (Dollars)	0	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.