Information Collection

Common Core of Data Survey System (KA)

IC 41417 under ICR 200505-1850-007 · OMB 1850-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0067 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Common Core of Data Survey System (KA)	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.	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: 93	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	93	35	58
Annual IC Time Burden (Hours)	12,075	35	12,040
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.