Information Collection

HHS Payment Management System Forms

IC 7750 under ICR 200212-0937-001 · OMB 0937-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0937-0200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

HHS Payment Management System Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-270				Yes	Yes
Form	SF-272				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,425

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 93 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	61,300	-5,900	67,200
Annual IC Time Burden (Hours)	184,200	-84,630	268,830
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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