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Revitalizing Base Closure Communities, Economic Development Conveyance Annual Financial Statement
Revitalizing Base Closure Communities, Economic Development Conveyance Annual Financial Statement
OMB: 0790-0004
IC ID: 5656
OMB.report
DOD/OS
OMB 0790-0004
ICR 202101-0790-001
IC 5656
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0790-0004 can be found here:
2024-02-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Exhibt 4_Monmouth_Form_of_Annual_Accounting_of_Revenue_21 Oct 16.docx
Other-Memorandum
Exhibt 4_Monmouth_Form_of_Annual_Accounting_of_Revenue_21 Oct 16.docx
Other-Memorandum
OMB PRA 0790-0004 ADN_2021.docx
Agency Disclosure Notice and PRA Information
IC Document
OMB PRA 0790-0004 ADN_2021.docx
Agency Disclosure Notice and PRA Information
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Revitalizing Base Closure Communities, Economic Development Conveyance Annual Financial Statement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
32 CFR 174.9
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Memorandum
Exhibt 4_Monmouth_Form_of_Annual_Accounting_of_Revenue_21 Oct 16.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
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
24
0
-5
0
0
29
Annual IC Time Burden (Hours)
960
0
-200
0
0
1,160
Annual IC Cost Burden (Dollars)
33,024
0
-4,676
0
0
37,700
Documents for IC
Title
Document
Date Uploaded
Agency Disclosure Notice and PRA Information
OMB PRA 0790-0004 ADN_2021.docx
01/11/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.