Information Collection

Indian Gaming Compliance and Enforcement 571.13

IC 208598 under ICR 202306-3141-002 · OMB 3141-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2019_SS_3141-0001_FINAL.docx Supplementary Statement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 571.13

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	240	-1	241
Annual IC Time Burden (Hours)	960	-4	964
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplementary Statement	2019_SS_3141-0001_FINAL.docx	01/10/2020

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