Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adequacy Certification - Application for Certificate of Adequacy (COA) Modified 221 496 0 Instruction
Form and Instruction CG-5401A (04/15)
Form and Instruction CG-5401B (04/15)
Form CG-5401C (04/15)
Form CG-5401D (04/15)
Form CG-5401X
Advance Notice Modified 11964 2991 0 Instruction
Appeals Modified 10 100 0 Instruction
Inadequacy Reports Modified 7 6 0 Instruction
Notice of Change Modified 50 50 0 Instruction
Waivers Modified 160 320 0 Instruction
Total burden requested under this ICR: 12412 3963 0  
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