Information Collection

State

IC 226934 under ICR 202408-0581-005 · OMB 0581-0128.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form LP-157 State	Form
LP-157 Application for License LP-157_AppForLicense_XX-202X.pdf	Form
LP-157 Application for License LP-157_AppForLicense_XX-202X.pdf	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	LP-157	Application for License	LP-157_AppForLicense_XX-202X.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	552	-801	1,353
Annual IC Time Burden (Hours)	120	-519	639
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.