Information Collection

Mid-Term Self-Identification

IC 31372 under ICR 201905-3060-008 · OMB 3060-0922.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0922 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screenshot for revised OMB 3060-0922.docx	Other-Screen Shots

IC Title:

Mid-Term Self-Identification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Other-Screen Shots			Screenshot for revised OMB 3060-0922.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,183

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,183	12,002	1,181
Annual IC Time Burden (Hours)	264	-327	591
Annual IC Cost Burden (Dollars)	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.