VOUCHER FOR FEDERAL-AID REIMBURSEMENTS

ICR 199110-2125-003

OMB: 2125-0507

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
141846 Migrated
ICR Details
2125-0507 199110-2125-003
Historical Active 198906-2125-004
DOT/FHWA
VOUCHER FOR FEDERAL-AID REIMBURSEMENTS
Revision of a currently approved collection   No
Regular
Approved without change 11/06/1991
Retrieve Notice of Action (NOA) 10/21/1991
  Inventory as of this Action Requested Previously Approved
11/30/1994 11/30/1994 10/31/1991
54 0 54
15,174 0 15,174
0 0 0

FEDERAL-AID FOR HIGHWAYS, DOCUMENTATION ACCOUNTS, PAYMENTS, EXPENSE CLAIMS, VOUCHERS, STATE OFFICIALS, REGULATIONS' VOUCHERS ARE NECESSARY TO DOCUMENT THE AMOUNT OF A RECIPIENT'S CLAIM AS REQUIRED BY U.S.C. 121. INFORMATION RECEIVED IS ONLY THAT REQUIRED BY STATUTE TO MAKE PAYMENT TO THE RECIPIENT AND TO PROPERLY ENTER EXPENDITURE DATA INTO THE FHWA ACCOUNTING SYSTEM.

None
None


No

1
IC Title Form No. Form Name
VOUCHER FOR FEDERAL-AID REIMBURSEMENTS PR-20, FHWA-1447, FHWA-1175

  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 54 54 0 0 0 0
Annual Time Burden (Hours) 15,174 15,174 0 0 0 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.
10/21/1991


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