Information Collection

Certificate of Self-Regulation 518.3(e), 518.4

IC 208614 under ICR 202306-3141-004 · OMB 3141-0008.

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IC Title:

Certificate of Self-Regulation 518.3(e), 518.4

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 518.4 25 CFR 518.3(e)

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: 1

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	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	202	202
Annual IC Cost Burden (Dollars)	75	75

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