Information Collection

Private Sector Mandatory

IC 194035 under ICR 202505-2060-004 · OMB 2060-0667.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-172 Agent Notice of Delegation Private Sector Mandatory	Form and Instruction
Form 7610-1 Certificate of Representation Private Sector Mandatory	Form and Instruction
Form 7610-5 General Account Form Private Sector Mandatory	Form and Instruction
Form 7610-20 Retired Unit Exemption Private Sector Mandatory	Form and Instruction
5900-172 Agent Notice of Delegation 5900-172 Agent Notice of Delegation.pdf	Form and Instruction
7610-1 Certificate of Representation 7610-1 Certificate of Representation.pdf	Form and Instruction
7610-5 General Account Form 7610-5 General Account Form.pdf	Form and Instruction
7610-20 Retired Unit Exemption 7610-20 Retired Unit Exemption.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Private Sector Mandatory

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR Subpart AAAAA 40 CFR Subpart BBBBB 40 CFR Subpart CCCCC 40 CFR Subpart DDDDD 40 CFR Subpart EEEEE 40 CFR Subpart FFFFF 40 CFR Subpart GGGGG (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-172	Yes	Yes	Fillable Fileable
Form and Instruction	7610-1	Yes	Yes	Fillable Fileable
Form and Instruction	7610-5	Yes	Yes	Fillable Fileable
Form and Instruction	7610-20	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 870

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,038	-255	2,293
Annual IC Time Burden (Hours)	104,249	-3,907	108,156
Annual IC Cost Burden (Dollars)	8,207,544	1,111,717	7,095,827

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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