Information Collection

REG Data Collection - Individuals

IC 195847 under ICR 202403-0503-001 · OMB 0503-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-2106 REG Data Collection - Individuals	Form
AD-2106 REG Form ad-2106.pdf	Form
AD-2106 REG Form ad-2106.pdf	Form

IC Title:

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	AD-2106	REG Form	ad-2106.pdf		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,011,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,011,250	101,250	1,910,000
Annual IC Time Burden (Hours)	67,041	3,248	63,793
Annual IC Cost Burden (Dollars)	0	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.