Information Collection

Outline For Assessing The Level Of Automation Of Sesa Benefit Payments

IC 121180 under ICR 198312-1205-009 · OMB 1205-0221.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0221 can be found here:

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Information Collection (IC) Details

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IC Title:	OUTLINE FOR ASSESSING THE LEVEL OF AUTOMATION OF SESA BENEFIT PAYMENTS	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA RC67				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	424	424
Annual IC Time Burden (Hours)	424	424
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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