Information Collection

State, Local or Tribal Government

IC 268621 under ICR 202405-3060-011 · OMB 3060-1113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

State, Local or Tribal Government

Agency IC Tracking Number:

PSHSB

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 10.480,10.500(e)

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: 627

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 Agency Discretion
Annual Number of Responses for this IC	2,588	2,588
Annual IC Time Burden (Hours)	53,472	53,472
Annual IC Cost Burden (Dollars)	3,525,400	3,525,400

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.