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Lender's Application for Payment of Insurance Claim
Lender's Application for Payment of Insurance Claim
OMB: 1845-0042
IC ID: 22268
OMB.report
ED/FSA
OMB 1845-0042
ICR 200112-1845-002
IC 22268
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0042 can be found here:
2011-02-08 - Extension without change of a currently approved collection
2007-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Lender's Application for Payment of Insurance Claim
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ED-1207
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
902
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,804
0
0
-784
0
2,588
Annual IC Time Burden (Hours)
487
0
0
-212
0
699
Annual IC Cost Burden (Dollars)
0
0
0
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.