272- form

HHS Payment Management System Forms PMS-270 - Request for Advance or Reimbursement and PMS-272 - Federal Cast Transaction Report

Documents and Forms

Document Name Document Type
PSC 272 summary.pdf Other-form
PSC 272A.txt Other-form

Information Collection (IC) Details

IC Title:	272- form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 205

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-form			PSC 272 summary.pdf		No	No	Paper Only
Other-form			PSC 272A.txt		No	No	Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,240	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	88,960	15,400	73,560
Annual IC Time Burden (Hours)	266,880	45,900	220,980
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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