Information Collection

Certificate of Self-Regulation 518.10(a)

IC 208615 under ICR 202306-3141-004 · OMB 3141-0008.

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Information Collection (IC) Details

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IC Title:	Certificate of Self-Regulation 518.10(a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 518.10(a)

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: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	203,750	203,750

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