Information Collection

Multi-Purpose Application

IC 37465 under ICR 199604-0694-004 · OMB 0694-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0088 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Multi-Purpose Application	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	BXA-622P	Yes	Yes
Form	BXA-699P	Yes	Yes
Form	BXA-748P	Yes	Yes
Form	BXA-685P	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,910	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,910	0	14,910
Annual IC Time Burden (Hours)	13,692	61	13,631
Annual IC Cost Burden (Dollars)	0	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.