Information Collection

Individuals or Households

IC 244642 under ICR 202011-3060-006 · OMB 3060-1250.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Individuals or Households

Agency IC Tracking Number:

OET

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 74.851(l)

Information Collection Instruments:

table that charts list of 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: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,125	1,125
Annual IC Time Burden (Hours)	313	313
Annual IC Cost Burden (Dollars)	31,250	31,250

Documents for IC

table that charts IC Documents
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.