Information Collection

Researcher Responsibilities Acknowledgement

IC 187708 under ICR 201705-0720-001 · OMB 0720-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Researcher Responsibilities Form_revisedPAS _ADN_April2017 05.03.2017.doc	Other-Acknowledgement Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 32 CFR 219

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Acknowledgement Form					Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 89

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	89	0	89
Annual IC Time Burden (Hours)	45	0	45
Annual IC Cost Burden (Dollars)	3,130	723	2,407

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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