Information Collection

State, Local and Tribal Governments

IC 239011 under ICR 202303-3060-023 · OMB 3060-1269.

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Information Collection (IC) Details

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IC Title:	State, Local and Tribal Governments	Agency IC Tracking Number:	PSHSB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 47 CFR 10.450

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,862	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,862	6,862	6,000
Annual IC Time Burden (Hours)	1,500	0	1,500
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.