Information Collection

Return Post Card for the Community Based Outlet Participants

IC 41063 under ICR 200208-1545-039 · OMB 1545-1703.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1703 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Return Post Card for the Community Based Outlet Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	12816	No	No
Form	12814	No	No
Form	12815	No	No
Form	12813	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,000	-13,350	38,350
Annual IC Time Burden (Hours)	2,083	-1,112	3,195
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.