Appendix G: Input Record Layout

Federal Case Registry (FCR)

Documents and Forms

Document Name Document Type
FCR_Appendix_G_Input_Transactions_Layout_clean.docx Other-file format
FCR_Appendix_G_Input_Transactions_Layout_clean.docx Other-file format

Information Collection (IC) Details

IC Title:	Appendix G: Input Record Layout	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
Other-file format			FCR_Appendix_G_Input_Transactions_Layout_clean.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Federal Case Registry	FR Citation: 87 FR 56055

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21,924	13,770	8,154
Annual IC Time Burden (Hours)	730	458	272
Annual IC Cost Burden (Dollars)	0	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.