Notice of Reclamation and Debit Request for Recurring Benefit Payments

Notice of Reclamation and Debit Request for Recurring Benefit Payments

OMB: 1510-0043

IC ID: 15406

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Notice of Reclamation and Debit Request for Recurring Benefit Payments
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FMS-133 No No
Form FMS-135 No No


    

55,000 0
   
Private Sector Businesses or other for-profits
 
   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 396,674 0 0 0 0 396,674
Annual IC Time Burden (Hours) 79,335 0 0 0 0 79,335
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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