Information Collection

Referendum - Ballot

IC 193346 under ICR 201104-0581-003 · OMB 0581-0265.

Documents and Forms

Document Name Document Type
Form SWL-ORB Referendum - Ballot Form
SWL-ORB Official Referendum Ballot Referendum Ballot (SWL-ORB).doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Referendum - Ballot	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR Pt. 1217 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SWL-ORB	Official Referendum Ballot	Referendum Ballot (SWL-ORB).doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 466	Number of Respondents for Small Entity: 96

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	93	93
Annual IC Time Burden (Hours)	23	23
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.