Information Collection

R&R Personal Data

IC 225456 under ICR 202110-0524-001CF · OMB 4040-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0001 R&R Personal Data	Form
4040-0001 Research and Related Personal Data Research & Related Personal Data OMB.pdf	Form

IC Title:

R&R Personal Data

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	4040-0001	Research and Related Personal Data	Research & Related Personal Data OMB.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,755

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	Previously Approved
Annual Number of Responses for this IC	5,755	5,755
Annual IC Time Burden (Hours)	5,755	5,755
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.