Information Collection Request

Federal Tax Offset, Administrative Offset, and Passport Denial Programs

ICR 200704-0970-003 · OMB 0970-0161 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Payment File Form and Instruction Modified Available
Form 2 Output Record Form and Instruction New Available
Form 1 Input Record Form and Instruction New Available
Form 3 Annual Certification Letter Form and Instruction New Available
PRA Offset Supp Statement 3-29-07.doc Supporting Statement A Uploaded 0000-00-00 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9939 Payment File Form and Instruction Modified
179585 Output Record Form and Instruction New
179584 Input Record Form and Instruction New
179583 Annual Certification Letter Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2010 36 Months From Approved 06/30/2007
7,074 0 7,074
2,535 0 2,535
0 0 128,000





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4
table that charts list of burden
IC Title Form No. Form Name
Payment File 1 payment file
Annual Certification Letter 3 Annual Certification Letter
Input Record 1 Input Record
Output Record 2 Output Record Specs.

table that charts list of burden
  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 7,074 7,074 0 0 0 0
Annual Time Burden (Hours) 2,535 2,535 0 0 0 0
Annual Cost Burden (Dollars) 0 128,000 0 -128,000 0 0


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  No