Information Collection

Notice of Lien

IC 9914 under ICR 200801-0970-003 · OMB 0970-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0153 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Notice of Lien Form and Instruction
1 Notice of Lien lien_final.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Lien	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Notice of Lien	lien_final.pdf		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 123,637	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	123,637	123,636	1
Annual IC Time Burden (Hours)	30,909	3,563	27,346
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.