Information Collection

ExecSec PRA 53-PAL

IC 270293 under ICR 202408-2501-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1a ExecSec-PRA-53 PAL screenshots (1).pdf OMB.pdf	Other-Screenshot
1a ExecSec-PRA-53 PAL screenshots (1).pdf OMB.pdf	Other-Screenshot

IC Title:

ExecSec PRA 53-PAL

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Screenshot			1a ExecSec-PRA-53 PAL screenshots (1).pdf OMB.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 582

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	582	582
Annual IC Time Burden (Hours)	192	192
Annual IC Cost Burden (Dollars)	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.