Information Collection

Other Remittance Advice

IC 171663 under ICR 197808-1903-003 · OMB 1903-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1903-0010 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	OTHER REMITTANCE ADVICE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	P-115-S-O				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,488	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,488	2,088	400
Annual IC Time Burden (Hours)	12,440	12,240	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.