Information Collection

Federal Government

IC 241381 under ICR 202601-3060-013 · OMB 3060-1230.

Documents and Forms

Document Name Document Type
1230.ESIX Complaint Submission Narrative Screenshots_revised (4.30.20)_final version.docx Other-Screenshot: ESIX Complaint Sub

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Government	Agency IC Tracking Number:	EB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot: ESIX Complaint Submission Form			1230.ESIX Complaint Submission Narrative Screenshots_revised (4.30.20)_final version.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 133	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	133	-201	334
Annual IC Time Burden (Hours)	67	-100	167
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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