Information Collection

Local Offices Application for the Reta Jo Lewis Local Diplomat Program

IC 267986 under ICR 202405-1405-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4320 Local Offices Application for the Reta Jo Lewis Local Diplomat Program	Form and Instruction
DS-4320 Local Offices Application for the Reta Jo Lewis Local Di RJL Local Diplomat Local Office Application_MS Form (1).docx	Form and Instruction
DS-4320 Local Offices Application for the Reta Jo Lewis Local Di RJL Local Diplomat Local Office Application_MS Form (1).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	DS-4320	Local Offices Application for the Reta Jo Lewis Local Diplomat Program	RJL Local Diplomat Local Office Application_MS Form (1).docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	0	2,000
Annual IC Time Burden (Hours)	1,000	0	1,000
Annual IC Cost Burden (Dollars)	0	49,140	-49,140

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.