Information Collection

Waivers

IC 184444 under ICR 201709-3060-009 · OMB 3060-1080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1080 can be found here:

Documents and Forms

Document Name Document Type
Form TA Form Number TA- Waivers Form and Instruction
TA Form Number TA- Interim Waiver Request Information Form Interim_Waiver_Request.pdf www.800ta.org/content/PDF/forms/Interim_Waiver_Request.pdf Form and Instruction
TA Form Number TA- Waiver Request Information Form Waiver_Request.pdf www.800ta.org/content/PDF/forms/Waiver_Request.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waivers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 90.677(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TA Form Number TA-14.1	Interim Waiver Request Information Form	Interim_Waiver_Request.pdf	http://www.800ta.org/content/PDF/forms/Interim_Waiver_Request.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	TA Form Number TA-13.1	Waiver Request Information Form	Waiver_Request.pdf	http://www.800ta.org/content/PDF/forms/Waiver_Request.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 610	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-610	610
Annual IC Time Burden (Hours)	-610	610
Annual IC Cost Burden (Dollars)	-48,800	48,800

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.