Information Collection

R&R Personal Data

IC 222922 under ICR 201708-4040-009 · OMB 4040-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0001 R&R Personal Data	Form
4040-0001 Research and Related Personal Data Research & Related Personal Data OMB.pdf	Form

IC Title:

R&R Personal Data

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 225 2 CFR 230 5 CFR 1320.5(d)(2) 2 CFR 215 2 CFR 220

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	4040-0001	Research and Related Personal Data	Research & Related Personal Data OMB.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: 0

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.