Information Collection

State, Local or Tribal Government

IC 254179 under ICR 202407-3060-024 · OMB 3060-0484.

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Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 4.3 47 CFR 4.5 47 CFR 4.9 47 CFR 9.19

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,612	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100,924	87,227	13,697
Annual IC Time Burden (Hours)	199,160	172,053	27,107
Annual IC Cost Burden (Dollars)	0	0	0

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