Information Collection

State, Local, or Tribal Government

IC 228332 under ICR 202009-3060-020 · OMB 3060-0715.

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Information Collection (IC) Details

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IC Title:	State, Local, or Tribal Government	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 64.2341

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,695	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38,220,616	-1,401,155	39,621,771
Annual IC Time Burden (Hours)	102,261	-145,493	247,754
Annual IC Cost Burden (Dollars)	1,500,000	-500,000	2,000,000

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