Information Collection

Petitions for Removal from Covered List

IC 277438 under ICR 202509-1124-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NSD-5 Petitions for Removal from Covered List	Form and Instruction
Form NSD-5 Petition for Removal From Covered List Petitions for Removal from Covered List	Form and Instruction
NSD-5 Petition for Removal From Covered List Form - Petition for Removal From Covered List 05.01.2024 (1) (2).pdf	Form and Instruction
NSD-5 Petition for Removal From Covered List Form - Petition for Removal From Covered List 05.01.2024 (1) (2).pdf	Form and Instruction

IC Title:

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 and Instruction	NSD-5				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	2,190	2,190

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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