Information Collection

Power of Attorney and Declaration of Representative

IC 128913 under ICR 199506-1545-014 · OMB 1545-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0150 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Power of Attorney and Declaration of Representative	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	2848				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	800,000	800,000	0
Annual IC Time Burden (Hours)	1,504,000	0	1,504,000
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.