Information Collection

Claims of United States Nationals Against Libya

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claims of United States Nationals Against Libya	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	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 %

	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

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.