OVERPAYMENT RECOVERY QUESTIONNAIRE

ICR 198912-1215-004

OMB: 1215-0144

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
122270 Migrated
ICR Details
1215-0144 198912-1215-004
Historical Active 198906-1215-014
DOL/ESA
OVERPAYMENT RECOVERY QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 03/27/1990
Retrieve Notice of Action (NOA) 12/27/1989
  Inventory as of this Action Requested Previously Approved
03/31/1993 03/31/1993 03/31/1990
6,500 0 8,000
6,500 0 8,000
0 0 0

TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ABLE TO PAY A CLAIM FOR RECOVERY OF AN OVERPAYMEN CONSIDERATION MUST BE GIVEN TO THE INDIVIDUAL'S PRESENT AND POTENTIAL INCOME, POSSIBLE CONCEALMENT OR IMPROPER TRANSFER OF ASSETS, AND ASSET OF THE INDIVIDUAL WHICH MAY BE AVAILABLE IN ENFORCED COLLECTION PROCEDURES.

None
None


No

1
IC Title Form No. Form Name
OVERPAYMENT RECOVERY QUESTIONNAIRE OWCP-20

  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 6,500 8,000 0 0 -1,500 0
Annual Time Burden (Hours) 6,500 8,000 0 0 -1,500 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.
12/27/1989


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