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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form Boundary and Annex Feedback	Form
Form Boundary and Annex Boundary and Annexation Survey Feedback Form 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

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:

table that charts list of 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				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 %

table that charts list of burden
	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

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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