Information Collection

Annual Letter (A) & Annual Letter (B), Certification of Authority

IC 39073 under ICR 200003-1510-004 · OMB 1510-0057.

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Information Collection (IC) Details

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IC Title:	Annual Letter (A) & Annual Letter (B), Certification of Authority	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 417	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	417	100	317
Annual IC Time Burden (Hours)	26,063	6,250	19,813
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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