Information Collection

General Inquiries to State Agency Contacts

IC 43816 under ICR 202401-1220-005 · OMB 1220-0168.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 - Examples of Inquiries to the States 2024 clearance.docx	Other-Examples
Attachment 1 - Examples of Inquiries to the States 2024 clearance.docx	Other-Examples

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Examples			Attachment 1 - Examples of Inquiries to the States 2024 clearance.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	23,890	23,890
Annual IC Time Burden (Hours)	15,927	15,927
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.