General Inquiries to State Agency Contacts

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0168 can be found here:

Documents and Forms

Document Name Document Type
Attachment 1 - Examples of Inquiries to the States 2021 clearance .docx Other-Examples
Attachment 1 - Examples of Inquiries to the States 2021 clearance .docx Other-Examples

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Inquiries to State Agency Contacts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Examples			Attachment 1 - Examples of Inquiries to the States 2021 clearance .docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Previously Approved
Annual Number of Responses for this IC	23,890	23,890
Annual IC Time Burden (Hours)	15,927	15,927
Annual IC Cost Burden (Dollars)	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.