Information Collection

Retrieving and Refiling Records - Public Agencies

IC 227708 under ICR 201706-0920-001 · OMB 0920-1128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1128 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Retrieving and Refiling Records - Public Agencies	Form
Retrieving and Refiling Records - SUDORS Att E. Retrieving and refiling records_1128_SUDORS.pdf	Form

IC Title:

Retrieving and Refiling Records - Public Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form	NA	Retrieving and Refiling Records - SUDORS	Att E. Retrieving and refiling records_1128_SUDORS.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33,100	33,100
Annual IC Time Burden (Hours)	16,550	16,550
Annual IC Cost Burden (Dollars)	0	0

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.