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Local American Citizen Skills/Resources Survey
Local United States Citizen Skills/Resources Survey
OMB: 1405-0188
IC ID: 189494
OMB.report
STATE/AFA
OMB 1405-0188
ICR 201512-1405-004
IC 189494
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0188 can be found here:
2023-01-26 - Reinstatement without change of a previously approved collection
2019-02-26 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DS-5506
Local American Citizen Skills/Resources Survey
Form and Instruction
DS-5506 LOCAL UNITED STATES CITIZEN SKILLS/RESOURCES SURVEY
Revised DS-5506 (Draft version).pdf
www.state.gov/m/a/dir/forms/c21447.htm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Local American Citizen Skills/Resources Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
22 CFR 71.1
22 CFR 71.6
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-5506
LOCAL UNITED STATES CITIZEN SKILLS/RESOURCES SURVEY
Revised DS-5506 (Draft version).pdf
http://www.state.gov/m/a/dir/forms/c21447.htm
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,400
0
0
0
0
2,400
Annual IC Time Burden (Hours)
600
0
0
0
0
600
Annual IC Cost Burden (Dollars)
7,860
0
0
7,860
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.