Information Collection Request

Severe Repetitive Loss (SRL)Appeals

ICR 200805-1660-003 · OMB 1660-0104 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement 06-03-08 1660-0104.doc Supporting Statement A Uploaded 2008-06-03 Available
30-day FRN 1660-0104 published 5-13-08.pdf Supplementary Document Uploaded 2008-05-13 Available
60-day FRN 2-29-2008.pdf Supplementary Document Uploaded 2008-05-09 Available
44 CFR Parts 59, 61, 78, 79, 80, 201, 206.pdf Supplementary Document Uploaded 2008-05-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
182504 Appeals Written Request and Supporting Documentation Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2011 36 Months From Approved 08/31/2008
10 0 10
100 0 100
19,704 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Appeals Written Request and Supporting Documentation

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 10 10 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 19,704 0 0 19,704 0 0


Reginfo record details
  No