Information Collection

ORS - State and Local Government

IC 215138 under ICR 202005-1220-002 · OMB 1220-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ORS 15-1G ORS - State and Local Government	Form
ORS 15-1G Establishment Collection Form - Government ORS Form 15-1G.docx	Form
ORS 4 PPD-4G ORS Collection Form Government ORS Form 4 PPD-4G.docx	Form
ORS 4 PPD-4GA ORS Cognitive Elements Recording Form ORS Form 4 PPD-4GA.docx	Form
ORS Form 4 PPD-4GF State and local government Appendix D - ORS FORM 4 PPD-4GF.PDF	Form
ORS 721 Approximate Scales Showcards Final.docx Approximate Scales Showcard	IC Document
ORS 721 Cognitive Definitions Showcard Final.docx Cognitive Definitions Showcard	IC Document
Appendix B - Respondent Reference Guide.pdf Respondent Reference Guide	IC Document

IC Title:

ORS - State and Local Government

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORS 15-1G	Establishment Collection Form - Government	ORS Form 15-1G.docx	Yes	No	Printable Only
Form	ORS 4 PPD-4G	ORS Collection Form Government	ORS Form 4 PPD-4G.docx	Yes	No	Printable Only
Form	ORS 4 PPD-4GA	ORS Cognitive Elements Recording Form	ORS Form 4 PPD-4GA.docx	Yes	No	Printable Only
Form	ORS Form 4 PPD-4GF	State and local government	Appendix D - ORS FORM 4 PPD-4GF.PDF	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,755	1,755
Annual IC Time Burden (Hours)	3,142	3,142
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Approximate Scales Showcard	ORS 721 Approximate Scales Showcards Final.docx	04/24/2018
Cognitive Definitions Showcard	ORS 721 Cognitive Definitions Showcard Final.docx	04/24/2018
Respondent Reference Guide	Appendix B - Respondent Reference Guide.pdf	05/18/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.