Information Collection Request

Disclosure Statement (Form 8275), and Regulation Disclosure Statement (Form 8275-R)

ICR 201909-1545-011 · OMB 1545-0889 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8275 Disclosure Statement Form Modified Available
Form 8275-R Regulation Disclosure Statement Form Modified Available
2019 Supporting Statement 8275_and_8275-R.doc Supporting Statement A Uploaded 2019-09-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
39853 Form 8275 - Disclosure Statement Form ModifiedDisclosure Statement
39853 Form 8275 - Disclosure Statement Instruction Modified
192799 Form 8275-R - Regulation Disclosure Statement Form ModifiedRegulation Disclosure Statement
192799 Form 8275-R - Regulation Disclosure Statement Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved 01/31/2020
666,666 0 666,666
3,716,664 0 3,716,664
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Form 8275 - Disclosure Statement 8275
Form 8275-R - Regulation Disclosure Statement 8275-R

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 666,666 666,666 0 0 0 0
Annual Time Burden (Hours) 3,716,664 3,716,664 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No