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State, Local or Tribal Governments
Freedom of Information/Privacy Act Request
OMB: 3060-1309
IC ID: 260015
OMB.report
FCC
OMB 3060-1309
ICR 202602-3060-029
IC 260015
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State, Local or Tribal Governments
Agency IC Tracking Number:
OMD
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
Other-Privacy Act Request Form Screenshot
Screenshot - PA Request Form 3.png
Yes
Yes
Fillable Fileable Signable
Other-Privacy Act Request Form Screenshot
Screenshot - PA Request Form 4.png
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FCC/OMD-17, Freedom of Information Act (FOIA) and Privacy Act Requests
FR Citation:
88 FR 74179
Number of Respondents:
377
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
92 %
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
377
0
0
184
0
193
Annual IC Time Burden (Hours)
30
0
0
14
0
16
Annual IC Cost Burden (Dollars)
1,825
0
0
544
0
1,281
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.
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