FEDEAL CLAIMS COLLECTION - 45 CFR 30.15(L), 30.19

ICR 198808-0990-001

OMB: 0990-0148

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
116705
Migrated
ICR Details
0990-0148 198808-0990-001
Historical Active 198412-0990-005
HHS/HHSDM
FEDEAL CLAIMS COLLECTION - 45 CFR 30.15(L), 30.19
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/24/1988
Retrieve Notice of Action (NOA) 08/18/1988
  Inventory as of this Action Requested Previously Approved
10/31/1991 10/31/1991
500 0 0
500 0 0
0 0 0

THE INFORMATION SUBMITTED UNDER 45 CFR 30.15 (L) AND 30.19 IS USED TO EVALUATE A DEBTOR'S REQUEST FOR A HEARING ON THE EXISTENCE OR AMOUNT OF DEBT TO THE GOVERNMENT OR ON AN OFFSET SCHEDULE PROPOSED BY HHS, OR TO EVALUATE AN ALTERNATIVE REPAYMENT SCHEDULE PROPOSED BY THE DEBTOR.

None
None


No

1
IC Title Form No. Form Name
FEDEAL CLAIMS COLLECTION - 45 CFR 30.15(L), 30.19

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 0 0 0 500 0
Annual Time Burden (Hours) 500 0 0 0 500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/18/1988


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