Debt Collection Financial Statement

Forms and Documents

Document Name	Status
Form FF 22-13 Debt Collection Financial Statement Form	Modified
30-day FRN 1-14-2008 1660-0011 FR Doc E8-466.pdf Supplementary Document	2008-01-17
Pub60-DayFRN-11-01-07.pdf Supplementary Document	2008-01-17
Supporting Statement 2-12-2008.doc Supporting Statement A	2008-02-12
Title 31 Sec 3711.pdf Supplementary Document	2008-01-16

IC Document Collections

IC ID	Document Title	Status
21056	Debt Collection Financial Statement Form	Modified

ICR Details

OMB Control No: 1660-0011	ICR Reference No: 200801-1660-001
Status: Historical Active	Previous ICR Reference No: 200503-1660-003
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Debt Collection Financial Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2008
	Date Received in OIRA: 02/19/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved	04/30/2008
Responses	1,000	0	300
Time Burden (Hours)	750	0	225
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA Form 22-13 is used to collect information from debtors to evaluate financial conditions and their abilty to repay FEMA debts. This information will obtain current credit data about debtors again who a debt is pending. Once this information is obtained FEMA will determine whether a collection action can be developed using terms for installment repayment agreements, compromises or completely terminate a debtors collection action.

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Authorizing Statute(s): US Code: 31 USC 3711 Name of Law: Collection and Compromise
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 61890	11/01/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 2268	01/14/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Debt Collection Financial Statement	FF 22-13	Debt Collection Financial Statement

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ICR Summary 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	1,000	300	0	0	700	0
Annual Time Burden (Hours)	750	225	0	0	525	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $33,207

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/19/2008

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