Information Collection

Application For Appeal Imspection Or Board Appeal Inspection

IC 101786 under ICR 198001-0580-001 · OMB 0580-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0580-0003 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR APPEAL IMSPECTION OR BOARD APPEAL INSPECTION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	IN-162	No	No
Form	202	No	No
Form	CP-5	No	No
Form	5-1	No	No
Form	6	No	No
Form	333	No	No
Form	WH 30	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,550	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	138,887	138,887
Annual IC Time Burden (Hours)	26,281	26,281
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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