Information Collection

Business or other for-profit

IC 224313 under ICR 202511-3060-004 · OMB 3060-1222.

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Information Collection (IC) Details

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IC Title:	Business or other for-profit	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.6110 47 CFR 64.6060 47 CFR 64.6040(c) 47 CFR 64.6120 47 CFR 64.6140(c),(d),(e)(2)-(4) 47 CFR 64.6140(f)(2),(f)(4)

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	43	5	38
Annual IC Time Burden (Hours)	10,565	1,400	9,165
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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