Information Collection Request

Generic Clearance for Collection of State Administrative Records Data

ICR 201912-0607-003 · OMB 0607-0995 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement A_12.12.19_v3.docx Supporting Statement A Uploaded 2019-12-23 Repair queued
Supporting Statement B_5.24.19.docx Supporting Statement B Uploaded 2019-12-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2021
51 51
75 75
80,325 80,325






table that charts list of burden
  Total Request 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 51 51 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 80,325 80,325 0 0 0 0


Reginfo record details
  No