Information Collection Request

Ombudsman Inquiry/Request Instrument

ICR 201709-3090-002 · OMB 3090-0315 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3090-XXXX Supporting Statement.docx Supporting Statement A Uploaded 2017-09-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228465 Ombudsman Inquiry/Request Instrument Other-Webform New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved
118 0 0
30 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Ombudsman Inquiry/Request Instrument

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 118 0 0 118 0 0
Annual Time Burden (Hours) 30 0 0 30 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No