Information Collection

Certification Of Inability To Pay Transportation Costs

IC 174604 under ICR 198011-2900-061 · OMB 2900-0257.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0257 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	CERTIFICATION OF INABILITY TO PAY TRANSPORTATION COSTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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
Form	VA-07-2323				No	No
Form	60-2323				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	552,500	52,500	500,000
Annual IC Time Burden (Hours)	46,042	4,375	41,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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