Information Collection

Lender's Manifest For Heal Program

IC 110093 under ICR 198401-0915-003 · OMB 0915-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0034 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	LENDER'S MANIFEST FOR HEAL PROGRAM	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	500	100	400
Annual IC Time Burden (Hours)	500	100	400
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.