Information Collection

CSCRIP Subscriber Information

IC 258847 under ICR 202303-0660-001 · OMB 0660-0051.

Documents and Forms

Document Name Document Type
CSCRIP Subscriber Information Form and Instruction
CSCRIP Online Data Collection Form CSCRIP Online Data Collection.docx Form and Instruction
CSCRIP Online Data Collection Form CSCRIP Online Data Collection.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CSCRIP Subscriber Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	CSCRIP Online Data Collection Form	CSCRIP Online Data Collection.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	2,379	2,379

Documents for IC

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.