1513-0124 Claims Questionnaire

Permit Application Questions, Amended Permit Application Questions, Claims Questions and other Questionnaires

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0124 can be found here:

Documents and Forms

Document Name Document Type
1513-0124 Questions Claims Rating.doc Other-Questionnaire

Information Collection (IC) Details

IC Title:	1513-0124 Claims Questionnaire	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			1513-0124 Questions Claims Rating.doc		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	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.