Information Collection

Individuals or Households

IC 253872 under ICR 202205-3060-020 · OMB 3060-1304.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FAQs_compliance_injunction_EO 14043_20220124.pdf	Other-COVID-19 Compliance
FAQs_compliance_injunction_EO 14043_20220124.pdf	Other-COVID-19 Compliance

IC Title:

Agency IC Tracking Number:

OMD-IO

Is this a Common Form? No

IC Status: New

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
Other-COVID-19 Compliance			FAQs_compliance_injunction_EO 14043_20220124.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: OPM/GOVT-10, Employee Medical File System Records

FR Citation: 75 FR 35099

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	200	200
Annual IC Time Burden (Hours)	50	50
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.