Information Collection

State-Quarterly Cost Rept.

IC 214800 under ICR 202106-0581-002 · OMB 0581-0113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form LPS-76 State-Quarterly Cost Rept.	Form
Form LPS-76 Shell Egg Surveillance Quarterly Cost Rept. State-Quarterly Cost Rept.	Form
LPS-76 Shell Egg Surveillance Quarterly Cost Rept. LP-76_SESQuarterlyCostReport_05.2021.pdf	Form
LPS-76 Shell Egg Surveillance Quarterly Cost Rept. LP-76_SESQuarterlyCostReport_05.2021.pdf	Form

IC Title:

State-Quarterly Cost Rept.

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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
Form	LPS-76				No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	76	-40	116
Annual IC Time Burden (Hours)	114	-60	174
Annual IC Cost Burden (Dollars)	0	0	0

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.

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