Information Collection

State, Local or Tribal Governments

IC 251616 under ICR 202202-3060-010 · OMB 3060-1301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1301 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PLAW-116publ172.pdf	Other-988 Act
PLAW-116publ172.pdf	Other-988 Act

IC Title:

State, Local or Tribal Governments

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: New

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-988 Act			PLAW-116publ172.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 630

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	630	630
Annual IC Time Burden (Hours)	34,650	34,650
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.