Information Collection

State, Local and Tribal Government

IC 236216 under ICR 201904-3060-018 · OMB 3060-1181.

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Documents and Forms

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Document Name	Document Type

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IC Title:

State, Local and Tribal Government

Agency IC Tracking Number:

OEA/IATD

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 0.201(d) 47 CFR 1.427

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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	85	85
Annual IC Cost Burden (Dollars)	1,947	1,947

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.