Information Collection

Foreign Assurance Renewal and New

IC 237703 under ICR 202310-0925-002 · OMB 0925-0765.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0765 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Foreign Assurance Renewal and New	Form and Instruction
3 Foreign Assurance Foreign Assurance.docx	Form and Instruction
3 Foreign Assurance Foreign Assurance.docx	Form and Instruction

IC Title:

Foreign Assurance Renewal and New

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	3	Foreign Assurance	Foreign Assurance.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	101	101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.