Information Collection

Feedback

IC 271176 under ICR 202409-0607-001 · OMB 0607-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0151 can be found here:

Documents and Forms

Document Name Document Type
Form Boundary and Annex Feedback Form
Boundary and Annex Boundary and Annexation Survey Feedback Form BAS_FeedbackForm.pdf Form
Boundary and Annex Boundary and Annexation Survey Feedback Form BAS_FeedbackForm.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Feedback	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Boundary and Annexation Survey Feedback Form	Boundary and Annexation Survey Feedback Form	BAS_FeedbackForm.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	17,390	17,390

Documents for IC

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.