Information Collection

State, Local and Tribal Governments

IC 239011 under ICR 201912-3060-008 · OMB 3060-1269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1269 can be found here:

Documents and Forms

Document Name Document Type
wea_livetestsurvey_dec2019.pdf Other-Live Test Survey.pdf

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State, Local and Tribal Governments	Agency IC Tracking Number:	PSHSB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Live Test Survey.pdf			wea_livetestsurvey_dec2019.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.