USCCR SAC Application

Supporting Statement to USCCR’s PRA Information Clearance Request

Documents and Forms

Document Name Document Type
USCCR SAC Application Form
USCCR SAC Application USCCR_Advisory Committee Application 2025 (3).pdf Form

Information Collection (IC) Details

IC Title:	USCCR SAC Application	Agency IC Tracking Number:	NA

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 703

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	USCCR SAC Application	USCCR_Advisory Committee Application 2025 (3).pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records
Title: CCR/Internal—Advisory Committee Records	FR Citation: 88 FR 16939

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

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.