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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Donor
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
Federal CCF
Federal CCF
Att C Fed CCF.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
DOT Federal CCF
DOT Federal CCF
DOT 2013_Fed CCF.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,400,000
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
5,400,000
0
0
-750,000
0
6,150,000
Annual IC Time Burden (Hours)
432,000
0
0
-80,500
0
512,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Authorizing Leg and Exec Order 12564
Att A Executive Order 12564.pdf
04/27/2017
UrMG
Att B URMG revised 2017.pdf
04/27/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.