Information Collection

Key Contacts

IC 234677 under ICR 202211-2126-001CF · OMB 4040-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0010 Key Contacts	Form
4040-0010 Key Contacts Key Contacts Form.pdf	Form

IC Title:

Key Contacts

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 220 2 CFR 225 2 CFR 230 2 CFR 215 5 CFR 1320.5(d)(s)

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	4040-0010	Key Contacts	Key Contacts Form.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: 165

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	Previously Approved
Annual Number of Responses for this IC	165	165
Annual IC Time Burden (Hours)	165	165
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.