Information Collection

M28, Mandatory Disclosures

IC 255555 under ICR 202206-0412-001 · OMB 0412-0510.

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IC Title:	M28, MANDATORY DISCLOSURES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 2 CFR 200 2 CFR 700

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	-240	250
Annual IC Time Burden (Hours)	40	-1,960	2,000
Annual IC Cost Burden (Dollars)	0	0	0

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