Information Collection

State, Local or Tribal Government

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

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: 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:

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: 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 %

table that charts list of burden
	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

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.

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