Information Collection

State, Local and Tribal Governments

IC 239011 under ICR 202106-3060-010 · OMB 3060-1269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
livetestsurvey_0720.pdf	Other-Screenshot - Livetestsurvey
livetestsurvey_0720.pdf	Other-Screenshot - Livetestsurvey

IC Title:

State, Local and Tribal Governments

Agency IC Tracking Number:

PSHSB

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Screenshot - Livetestsurvey			livetestsurvey_0720.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	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.