Information Collection

Independent Listing

IC 235545 under ICR 201904-0607-001 · OMB 0607-1009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2020 PES Confidentiality Notice Form (D-31 ES) v1.1.0 2.25.19.docx	Other-Confidentiality Notice
2020 PES Confidentiality Notice Form (D-31 PR) v1.1.0 22519.docx	Other-Confidentiality Notice (Puerto
2020 PES Notice of Visit (D-26 ES) v1.2.0 3.5.19.docx	Other-Notice of Visit
2020 PES Notice of Visit (D-26 PR) v1.2.0 3.5.19.docx	Other-Notice of Visit (Puerto Rico)
IL LiMA screenshots.docx	Other-LiMA screenshots

IC Title:

Independent Listing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Confidentiality Notice	2020 PES Confidentiality Notice Form (D-31 ES) v1.1.0 2.25.19.docx	No		Paper Only
Other-Confidentiality Notice (Puerto Rico)	2020 PES Confidentiality Notice Form (D-31 PR) v1.1.0 22519.docx	No		Paper Only
Other-Notice of Visit	2020 PES Notice of Visit (D-26 ES) v1.2.0 3.5.19.docx	No		Paper Only
Other-Notice of Visit (Puerto Rico)	2020 PES Notice of Visit (D-26 PR) v1.2.0 3.5.19.docx	No		Paper Only
Other-LiMA screenshots	IL LiMA screenshots.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 650,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	650,000	650,000
Annual IC Time Burden (Hours)	54,167	54,167
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.