Financial Status Report

ICR 200305-2900-003

OMB: 2900-0165

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
28403 Migrated
ICR Details
2900-0165 200305-2900-003
Historical Active 200005-2900-001
VA
Financial Status Report
Extension without change of a currently approved collection   No
Regular
Approved without change 07/29/2003
Retrieve Notice of Action (NOA) 05/20/2003
  Inventory as of this Action Requested Previously Approved
07/31/2006 07/31/2006 07/31/2003
45,553 0 41,800
45,553 0 41,800
0 0 0

Information reported on this form is necessary to evaluate eligibility for waiver of collection, payment plans or compromises and to determine hardship imposed by an offset schedule as requied under 31 USC 3711, 3716 and 5 USC 5514.

None
None


No

1
IC Title Form No. Form Name
Financial Status Report 5655

  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 45,553 41,800 0 0 3,753 0
Annual Time Burden (Hours) 45,553 41,800 0 0 3,753 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.
05/20/2003


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