Information Collection

Claim for Relocation Payments - Residential

IC 11562 under ICR 200902-1084-001 · OMB 1084-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1084-0010 can be found here:

Documents and Forms

Document Name Document Type
Form DI-381 Claim for Relocation Payments - Residential Form and Instruction
DI-381 Claim for Relocation Payaments - Residential DI-381 Residential.pdf www.doi.gov/pam/DI381x309.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim for Relocation Payments - Residential	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	DI-381	Claim for Relocation Payaments - Residential	DI-381 Residential.pdf	http://www.doi.gov/pam/DI381x309.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-150	200
Annual IC Time Burden (Hours)	41	-49	90
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.