Information Collection

Worksheets For Determination Of Qualification

IC 130197 under ICR 198110-1545-045 · OMB 1545-0605.

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Information Collection (IC) Details

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IC Title:	WORKSHEETS FOR DETERMINATION OF QUALIFICATION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	5622, 5623,	No	No
Form	5624, 5625,	No	No
Form	5626, 5627	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	134,400	134,400
Annual IC Time Burden (Hours)	134,400	134,400
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.