Information Collection

Economic Indicators

IC 249947 under ICR 202506-0920-006 · OMB 0920-1365.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1365 Economic Indicators	Form
Form 0920-1365 EcoIndicatorCostTool_CoreSIPP Economic Indicators	Form
0920-1365 EcoIndicatorCostTool_CoreSIPP Att F_EcoIndicatCostTool_Core SIPP.xlsm	Form
0920-1365 EcoIndicatorCostTool_CoreSIPP Att F_EcoIndicatCostTool_Core SIPP.xlsm	Form

IC Title:

Economic Indicators

Agency IC Tracking Number:

0920-1365

Is this a Common Form? No

IC Status: Modified

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
Form	0920-1365				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23

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	Previously Approved
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	23	23
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.

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