Information Collection

Waiver Applications

IC 259674 under ICR 202304-1652-001 · OMB unassigned.

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Information Collection (IC) Details

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IC Title:	Waiver Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 6 CFR 37

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	325,000	325,000

Documents for IC

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