Information Collection

State, Local and Tribal Government

IC 236216 under ICR 202411-3060-001 · OMB 3060-1181.

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Information Collection (IC) Details

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IC Title:	State, Local and Tribal Government	Agency IC Tracking Number:	OEA/IAD

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 0.201(d) 47 CFR 1.427

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18	-20	38
Annual IC Time Burden (Hours)	288	-361	649
Annual IC Cost Burden (Dollars)	5,357	-4,679	10,036

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.