Information Collection Request

Certification of Material Events Form

ICR 202204-1559-001 · OMB 1559-0037 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 201701 Certification of Material Events Form Form and Instruction Modified Repair queued
Comments - Material Event Form.xlsx Supplementary Document Uploaded 2022-04-19 Repair queued
Material Event Form - OMB Supporting Statement (OMB).docx Supporting Statement A Uploaded 2022-04-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192127 Certification of Material Events Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
200 200
50 50
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Certification of Material Events Form 201701 Certification of Material Events Form

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 200 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No