Applicants

License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974

OMB: 2528-0297

IC ID: 206961

Documents and Forms
Document Name
Document Type
Other-Affidavit of Nondisclosure
Other-Affidavit of Nondisclosure
Other-Data License Application
Other-Data License Application
Other-PDR License Agreement
Other-PDR License Agreement
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Applicants
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Affidavit of Nondisclosure Affidavit of Nondisclosure 2020.docx No   Paper Only
Other-Data License Application Data License Application 2020.docx No   Paper Only
Other-PDR License Agreement PDR License Agreement 2019 (For Web) Revised with DL Number line-Blank.docx No   Paper Only

General Government Central Records & Statistical Mgt

 

15 0
   
Private Sector Businesses or other for-profits
 
   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 0 0 -15 0 15 0
Annual IC Time Burden (Hours) 0 0 -15 0 15 0
Annual IC Cost Burden (Dollars) 0 0 -750 0 750 0

Title Document Date Uploaded
Data File Destruction Form 2020 Data File Destruction Form 2020.docx 01/16/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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