Information Collection

Overpayment Questionnaire

IC 122268 under ICR 198402-1215-001 · OMB 1215-0144.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0144 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	OVERPAYMENT QUESTIONNAIRE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OWCP-20				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,600	7,800	2,800
Annual IC Time Burden (Hours)	3,533	2,733	800
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.