Information Collection

State-Quarterly Cost Rept.

IC 214800 under ICR 202106-0581-002 · OMB 0581-0113.

Documents and Forms

Document Name Document Type
Form LPS-76 State-Quarterly Cost Rept. Form
Form LPS-76 Shell Egg Surveillance Quarterly Cost Rept. State-Quarterly Cost Rept. Form
LPS-76 Shell Egg Surveillance Quarterly Cost Rept. LP-76_SESQuarterlyCostReport_05.2021.pdf Form
LPS-76 Shell Egg Surveillance Quarterly Cost Rept. LP-76_SESQuarterlyCostReport_05.2021.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State-Quarterly Cost Rept.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	LPS-76	Shell Egg Surveillance Quarterly Cost Rept.	LP-76_SESQuarterlyCostReport_05.2021.pdf		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	76	-40	116
Annual IC Time Burden (Hours)	114	-60	174
Annual IC Cost Burden (Dollars)	0	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.

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