Information Collection

State, Local or Tribal Government

IC 261034 under ICR 202307-3060-008 · OMB 3060-1313.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1313 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	State, Local or Tribal Government	Agency IC Tracking Number:	PSHSB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 90.175(g)(2)

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 213	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
Annual Number of Responses for this IC	213	213
Annual IC Time Burden (Hours)	213	213
Annual IC Cost Burden (Dollars)	234,300	234,300

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.