| 1845-0099 v2 | 
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		| Respondent Type | # of Respondents | # of Responses | Hours/Response | Total Burden Hours | Reporting Requirement | Cost per Repondent | Total Costs per Respondent | 
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		| Burden by Affected Entity: | 
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		| Federal Government | 0 | 0 | 0 | 0 | 
 | $0 | $0 | 
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		| Individuals or Households | 0 | 0 | 0 | 0 | 
 | $0 | $0 | 
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		| Farms | 0 | 0 | 0 | 0 | 
 | $0 | $0 | 
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		| Sub-total | 0 | 0 | 
 | 0 | 
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 | $0 | 
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		| Private Sector | 
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		| Business or other for-profits | 0 | 0 | 0 | 0 | 
 | $0 | $0 | 
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		| Not-for profits - application | 5 | 5 | 0.33 | 2 | Recordkeeping | $0 | $0 | 
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		| Not-for profits  - LEA contact | 
 | 9 | 0.25 | 2 | Recordkeeping | 
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		| Not-for profits -  Other qualified professional | 
 | 1 | 0.75 | 1 | Recordkeeping | 
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		| Sub-total | 5 | 15 | 1.33 | 5 | 
 | 24.61 | $164 | 
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		| State, Local, or Tribal Governments | 
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		| Public - application | 20 | 20 | 0.33 | 7 | Recordkeeping | $0 | $0 | 
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		| Public - LEA contact | 
 | 34 | 0.25 | 9 | Recordkeeping | 
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		| Public -  Other qualified professional | 
 | 6 | 0.75 | 5 | Recordkeeping | 
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		| Private Institutions | 0 | 0 | 0 | 0 | 
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 | $0 | 
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		| Sub-total | 20 | 60 | 1.33 | 21 | 
 | 24.61 | $655 | 
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		| Total | 25 | 75 | 
 | 26 | 
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 | $819 | 
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		| CURRENT INVENTORY | 
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		| Current # of Respondents | 400 | 
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		| Current # of Responses | 
 | 2,560 | 
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		| Current Inventory of Hours | 
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 | 834 | 
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		| Difference | (375) | (2,485) | 
 | (808) | 
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		| Document Type | Other | 
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		| Available Electronically? | 
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		| Can be submitted Electronically? | Yes | 
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		| Percent Reporting Electronically? | 0.50 | 
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		| Obligation to Respond? | Required to obtain the benefit. | 
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		| Frequency? | On Occasion | 
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