Information Collection

Outlet Rotation - State and Local Governments

IC 183493 under ICR 202303-1220-004 · OMB 1220-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0039 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A Outlet Rotation - State and Local Governments	Form
Attachment A CADC Screenshots ATT_A_ScreenShots_Collection_Instrument_CS.pdf	Form
Attachment A CADC Screenshots ATT_A_ScreenShots_Collection_Instrument_CS.pdf	Form

IC Title:

Outlet Rotation - State and Local Governments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form	Attachment A	CADC Screenshots	ATT_A_ScreenShots_Collection_Instrument_CS.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	50	50
Annual IC Time Burden (Hours)	100	50	50
Annual IC Cost Burden (Dollars)	0	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.