Information Collection

Business or other-for profit

IC 183206 under ICR 202405-3060-011 · OMB 3060-1113.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Business or other-for profit

Agency IC Tracking Number:

PSHSB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 10.210, 10.240

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

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 626

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,588	-2,424	5,012
Annual IC Time Burden (Hours)	53,471	24,651	28,820
Annual IC Cost Burden (Dollars)	3,525,400	3,525,400	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.