Information Collection

Referendum Ballot

IC 203031 under ICR 201308-0581-004 · OMB 0581-0282.

Documents and Forms

Document Name Document Type
Form PAP-ORB Referendum Ballot Form
PAP-ORB Official Referendum Ballot (Paper & Paper-Based Packagin Referendum Ballot (PAP-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: 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	PAP-ORB	Official Referendum Ballot (Paper & Paper-Based Packaging)	Referendum Ballot (PAP-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: 70	Number of Respondents for Small Entity: 4

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	10	10
Annual IC Time Burden (Hours)	2	2
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.