View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Potential Board Member Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	FORM 404				No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: SSS-7 Uncompensated Personnel	FR Citation: 65 FR 184

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	900	0	0	0	0	900
Annual IC Time Burden (Hours)	225	0	0	0	0	225
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
FORM 404 Support Statement		02/01/2017
FORM 404 Instructions		02/01/2017

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

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