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Warehouse Regulations Under the United States Warehouse Act
Warehouse Regulations Under the United States Warehouse Act
OMB: 0581-0305
IC ID: 1353
OMB.report
USDA/AMS
OMB 0581-0305
ICR 202004-0581-005
IC 1353
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0305 can be found here:
2022-06-21 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form WA-50
Warehouse Regulations Under the United States Warehouse Act
Form
WA0403_111031V01.docx
Other-deactivated
WA0404_111031V01.docx
Other-deactivated
WA0407_111031V01.docx
Other-deactivated
WA0408_111031V01.docx
Other-deactivated
WA0460-0003_111031V01.docx
Other-deactivated
WA0460-0004_111031V01.docx
Other-deactivated
WA0460-0005_111108V01.docx
Other-deactivated
WA0460-0006_111031V01.docx
Other-deactivated
WA0460-0007_111031V01.docx
Other-deactivated
WA0460-0008_111031V01.docx
Other-deactivated
WA-50 Application for License or Modification of License for t
WA 50 Application for License-Modification Conduct of Public Warehouse 7-2018.docx
www.ams.usda.gov/resources/formst
Form
WA-51-2 Financial Statement Supplement
WA 51-2 Financial Statement Supplement (Ag Products) 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-53 Applicaton for a License to Inspect, Classify, Sample, a
WA 53 Application License to Inspect, Classify, Sample, Weigh Ag Products 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-62 Bond to Cover Lost Paper Warehouse Receipts under the U.
WA 62 Bond to Cover Lost Paper Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-70 Recept Signature Authority
WA 70 Receipt Signature Authority 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-80 Warehouse Operator's Bond
WA 80 Warehouse Operator's Bond 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-81 Rider to Warehouse Operator's Bond
WA 81 Rider to Warehouse Operator's Bond 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-82 Warehouse Operator's Irrevocalble Letter of Credit
WA 82 Warehouse Operator's Irrevocable Letter of Credit 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-83 Warehouse Operator's Bond
WA 83 Warehouse Operator's Bond Eligible Securities 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-84 Power of Attorney (To sell Securities)
WA 84 Power of Attorney (to sell securities) 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-85 Coroperate Power of Attorney
WA 85 Corporate Power of Attorney (to sell securities) 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-87 Receipt for Obligor on Return of Securities
WA 87 Receipt for Obligor on Return of Securities 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-88 Receipt for Eligible Securities Accepted as Security
WA 88 Receipt Eligible Securities Accepted as Security 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-89 Consent of Surety to Changes
WA 89 Consent of Surety to Changes 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-90 Corporate Signature Resolution
WA 90 Corporate Signature Resolution-Limited Liability Company Signature 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-91 Agreement to Indemnify
WA 91 Agreement to Indemnify 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-105 Returned and Destroyed Receipt Record
WA 105 Returned and Destroyed Receipt Record 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-125 Memorandum of Adjustments
WA 125 Memorandum of Adjustments 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-125ER Memorandum of Adjustments - Electronic Response
WA 125ER Memorandum of Adjustments (electronic response) 7-2018.docx
/www.ams.usda.gov/resources/forms
Form and Instruction
WA-139 Certificate of Loss of Canceled Or Uncanceled Warehouse
WA 139 Certificate of Loss-Canceled-Uncanceled Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-140 Agreement to Assume Agricultural Product Storage Obligat
WA 140 Agreement to Assume Ag. Product Storage Obligations 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-141 Agreement with Respect to Agricutlural Product Storage O
WA 141 Agreement w-Respect to Ag. Product Storage Obligations 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-220 Examination Report
WA 220 Examination Report 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-221 Examination Report
WA 221 Examination Rept. (Supplement 1) 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-222 Examination Report of Individual Buildings
WA 222 Examination Rept. of Individual Bldgs. (Supplement 2) 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-225 Warehouse Operator's Statement and Examiner's Comparison
WA 225 Warehouse Operator's Stmt. and Examiner's Comparison-Obligated Stocks 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-237 Order for Printing U.S. Warehouse Receipt Forms
WA 237 Order for Printing Warehouse Receipt Forms 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-302 Examination Report
WA 302 Examination Report 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-303 Original and/or Amendment Examination Report
WA 303 Original and-or Amendment Examination Rept. 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-308 Warehouse Operator's Statement and Examiner's Comparison
WA 308 Warehouse Operator's Stmt and Examiner's Comparison Obligations and Stocks 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-372 Schedule of Charges
WA 372 Schedule of Charges-Tariff for Storing, Handling Ag. Products 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-561 Original Warehouse Examination Report (Processed Commodi
WA 561 Orig. Warehouse Examination Rept. (Processed Commodities) 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-562 Subsequent Examination Report
WA 562 Subsequent Examination Rept. (Processed Commodities) 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-570 Inventory Adjustment Notice
WA 570 Inventory Adjustment Notice 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-580 Port Terminal Inspection Checklist
WA 580 Port Facility Examination Checklist 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-580-1 Transloading Inspection Checklist
WA 580-1 Transloading Examination Checklist 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-400 Addendum to the Terms and Conditions of the Licensing/Pr
WA 400 Addendum to Terms, Conditions of Licensing-Provider Agremt. 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-401 Liscensing Agreement for Cotton Warehouse Operators
WA 401 Licensing Agreement Cotton Warehouse Operators 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-402 Licensing Agreement for Grain and Rice Warehouse Operato
WA 402 Licensing Agreement Grain & Rice Warehouse Operators 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-405 Licensign Agreement for Nut Warehouse Operators
WA 405Licensing Agreement Nut Warehouse Operators 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-406 Licensing Agreement for Dry Edible Beans
WA 406 Licensing Agreement Dry Bean Warehouse Operators 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-460 Provider Agreement to Electronically File and Maitain Wa
WA 460 Provider Agremt Electronically File & Maintain Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-460-1 Addendum to the Provider Agrement to Electronically File
WA 460-1 Addendum to the Provider Agreement Cotton Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-460-2 Addendum to the Provider Agreement to Electronically Fie
WA 460-2 Addendum Agreement Grain Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-460-9 Addendum to the Provider Agreement to Electronically Fil
WA 460-9 Addendum Agreement Rice Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-460-11-Coffee Addendum to the Provider Agreement to Electronically Fil
WA 460-11 Addendum Agreement Coffee Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-460-12 Addendum to the Provider Agreement to Electronically Fil
WA 460-12 Addendum Agreement Cocoa Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-460-13 Addendum to the Provider Agreement to Electronically Fie
WA 460-13 Addendum Agreement Orange Juice Warehouse Receipts 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-490 Provider Agreement to Electronically File and Maintain O
WA 490 Provider agreement to Electronically File & Maintain Elec. Documents 7-2018.docx
www.ams.usda.gov/resources/forms
Form and Instruction
WA-490-1 Addendum to the Provider Agreement to Electronically Fil
WA 490-1 Addendum- Provider Agremt to Electronically File & Maintain Doc. 7-2018.docx
www.ams.usda.gov/resources/forms
Form
WA-502 Licensing Agreement for Export Food Aid Commodites
WA 502 Licensing Agreement Export Food Aid Commodity Warehouse Operators 4-22-2020.docx
www.ams.usda.gov/resources/forms
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Warehouse Regulations Under the United States Warehouse Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 735
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
WA-50
Application for License or Modification of License for the Conduct of a Public Warehouse
WA 50 Application for License-Modification Conduct of Public Warehouse 7-2018.docx
https://www.ams.usda.gov/resources/formst
Yes
Yes
Fillable Fileable
Form and Instruction
WA-51-2
Financial Statement Supplement
WA 51-2 Financial Statement Supplement (Ag Products) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-53
Applicaton for a License to Inspect, Classify, Sample, and or weigh Agricultural Products under the US Warehouse Act
WA 53 Application License to Inspect, Classify, Sample, Weigh Ag Products 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-62
Bond to Cover Lost Paper Warehouse Receipts under the U.S. Warehouse Act
WA 62 Bond to Cover Lost Paper Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-70
Recept Signature Authority
WA 70 Receipt Signature Authority 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form
WA-80
Warehouse Operator's Bond
WA 80 Warehouse Operator's Bond 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-81
Rider to Warehouse Operator's Bond
WA 81 Rider to Warehouse Operator's Bond 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-82
Warehouse Operator's Irrevocalble Letter of Credit
WA 82 Warehouse Operator's Irrevocable Letter of Credit 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-83
Warehouse Operator's Bond
WA 83 Warehouse Operator's Bond Eligible Securities 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-84
Power of Attorney (To sell Securities)
WA 84 Power of Attorney (to sell securities) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-85
Coroperate Power of Attorney
WA 85 Corporate Power of Attorney (to sell securities) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-87
Receipt for Obligor on Return of Securities
WA 87 Receipt for Obligor on Return of Securities 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-88
Receipt for Eligible Securities Accepted as Security
WA 88 Receipt Eligible Securities Accepted as Security 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-89
Consent of Surety to Changes
WA 89 Consent of Surety to Changes 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-90
Corporate Signature Resolution
WA 90 Corporate Signature Resolution-Limited Liability Company Signature 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-91
Agreement to Indemnify
WA 91 Agreement to Indemnify 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-105
Returned and Destroyed Receipt Record
WA 105 Returned and Destroyed Receipt Record 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-125
Memorandum of Adjustments
WA 125 Memorandum of Adjustments 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-222
Examination Report of Individual Buildings
WA 222 Examination Rept. of Individual Bldgs. (Supplement 2) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-225
Warehouse Operator's Statement and Examiner's Comparison of Obligated Stocks
WA 225 Warehouse Operator's Stmt. and Examiner's Comparison-Obligated Stocks 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-125ER
Memorandum of Adjustments - Electronic Response
WA 125ER Memorandum of Adjustments (electronic response) 7-2018.docx
https:///www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form and Instruction
WA-139
Certificate of Loss of Canceled Or Uncanceled Warehouse Receipt
WA 139 Certificate of Loss-Canceled-Uncanceled Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form
WA-140
Agreement to Assume Agricultural Product Storage Obligations
WA 140 Agreement to Assume Ag. Product Storage Obligations 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-141
Agreement with Respect to Agricutlural Product Storage Obligations
WA 141 Agreement w-Respect to Ag. Product Storage Obligations 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-220
Examination Report
WA 220 Examination Report 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-221
Examination Report
WA 221 Examination Rept. (Supplement 1) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-237
Order for Printing U.S. Warehouse Receipt Forms
WA 237 Order for Printing Warehouse Receipt Forms 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-302
Examination Report
WA 302 Examination Report 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-303
Original and/or Amendment Examination Report
WA 303 Original and-or Amendment Examination Rept. 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-308
Warehouse Operator's Statement and Examiner's Comparison
WA 308 Warehouse Operator's Stmt and Examiner's Comparison Obligations and Stocks 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-372
Schedule of Charges
WA 372 Schedule of Charges-Tariff for Storing, Handling Ag. Products 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Form
WA-561
Original Warehouse Examination Report (Processed Commodities)
WA 561 Orig. Warehouse Examination Rept. (Processed Commodities) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-562
Subsequent Examination Report
WA 562 Subsequent Examination Rept. (Processed Commodities) 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-570
Inventory Adjustment Notice
WA 570 Inventory Adjustment Notice 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-580
Port Terminal Inspection Checklist
WA 580 Port Facility Examination Checklist 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Printable Only
Form
WA-580-1
Transloading Inspection Checklist
WA 580-1 Transloading Examination Checklist 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Printable Only
Form and Instruction
WA-400
Addendum to the Terms and Conditions of the Licensing/Provider Agreement
WA 400 Addendum to Terms, Conditions of Licensing-Provider Agremt. 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-401
Liscensing Agreement for Cotton Warehouse Operators
WA 401 Licensing Agreement Cotton Warehouse Operators 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Printable
Form and Instruction
WA-402
Licensing Agreement for Grain and Rice Warehouse Operators
WA 402 Licensing Agreement Grain & Rice Warehouse Operators 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Other-deactivated
WA0403_111031V01.docx
No
Paper Only
Other-deactivated
WA0404_111031V01.docx
No
Paper Only
Form and Instruction
WA-405
Licensign Agreement for Nut Warehouse Operators
WA 405Licensing Agreement Nut Warehouse Operators 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-406
Licensing Agreement for Dry Edible Beans
WA 406 Licensing Agreement Dry Bean Warehouse Operators 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Other-deactivated
WA0407_111031V01.docx
No
Paper Only
Other-deactivated
WA0408_111031V01.docx
No
Paper Only
Form and Instruction
WA-460
Provider Agreement to Electronically File and Maitain Warehouse Receipts and US Warehouse Act Documents
WA 460 Provider Agremt Electronically File & Maintain Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-460-1
Addendum to the Provider Agrement to Electronically File and Maintain Cotton Warehouse Receipts
WA 460-1 Addendum to the Provider Agreement Cotton Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-460-2
Addendum to the Provider Agreement to Electronically Fiel and Maintain Grain Warehouse Receipts and US Warehouse Act Documents
WA 460-2 Addendum Agreement Grain Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
Yes
Fillable Fileable
Other-deactivated
WA0460-0003_111031V01.docx
No
Paper Only
Other-deactivated
WA0460-0004_111031V01.docx
No
Paper Only
Other-deactivated
WA0460-0005_111108V01.docx
No
Paper Only
Other-deactivated
WA0460-0006_111031V01.docx
No
Paper Only
Other-deactivated
WA0460-0007_111031V01.docx
No
Paper Only
Other-deactivated
WA0460-0008_111031V01.docx
No
Paper Only
Form
WA-460-9
Addendum to the Provider Agreement to Electronically File and Maintain Rice Warehouse Receipts
WA 460-9 Addendum Agreement Rice Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-460-11-Coffee
Addendum to the Provider Agreement to Electronically File and Maintain Coffee Warehouse Receipts
WA 460-11 Addendum Agreement Coffee Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-460-12
Addendum to the Provider Agreement to Electronically File and Maintain Cocoa Warehouse Receipts
WA 460-12 Addendum Agreement Cocoa Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-460-13
Addendum to the Provider Agreement to Electronically Fiel and Maintain Orange Juice Warehouse Receipts
WA 460-13 Addendum Agreement Orange Juice Warehouse Receipts 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-490
Provider Agreement to Electronically File and Maintain Other Electronic Documents
WA 490 Provider agreement to Electronically File & Maintain Elec. Documents 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form
WA-490-1
Addendum to the Provider Agreement to Electronically File and Maintain Other Documents
WA 490-1 Addendum- Provider Agremt to Electronically File & Maintain Doc. 7-2018.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Form and Instruction
WA-502
Licensing Agreement for Export Food Aid Commodites
WA 502 Licensing Agreement Export Food Aid Commodity Warehouse Operators 4-22-2020.docx
https://www.ams.usda.gov/resources/forms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,000
Number of Respondents for Small Entity:
1,500
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
80 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
19,011
0
0
0
0
19,011
Annual IC Time Burden (Hours)
40,589
0
2
0
0
40,587
Annual IC Cost Burden (Dollars)
0
0
0
0
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.