Information Collection

Supplemental Disability Report

IC 28343 under ICR 201102-2900-007 · OMB 2900-0129.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0129 can be found here:

Documents and Forms

Document Name Document Type
Form FL 29-30A Supplemental Disability Report Form
FL 29-30A Supplemental Disability Report fl29-30a.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplemental Disability Report	Agency IC Tracking Number:	2900-0129

Is this a Common Form? No		IC Status: Unchanged

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
Form	FL 29-30A	Supplemental Disability Report	fl29-30a.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,570	6,570
Annual IC Time Burden (Hours)	548	548
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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