Information Collection

Claims of United States Nationals Against Libya

IC 188143 under ICR 200906-1105-001 · OMB 1105-0090.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCSC 1-09 Claims of United States Nationals Against Libya	Form
Attachment G_2nd ICR.doc	Instruction
FCSC 1-09 Statement of Claim FCSC_Form_1-09_5-20-2009.pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCSC 1-09	Statement of Claim	FCSC_Form_1-09_5-20-2009.pdf		Yes	No	Fillable Printable
Instruction			Attachment G_2nd ICR.doc		Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.