Information Collection

State, Local or Tribal Government

IC 198416 under ICR 202403-3060-014 · OMB 3060-1158.

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Information Collection (IC) Details

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IC Title:	State, Local or Tribal Government	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 8.1

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: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,192	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,192	109	1,083
Annual IC Time Burden (Hours)	30,992	2,847	28,145
Annual IC Cost Burden (Dollars)	255,000	0	255,000

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