Information Collection Request

Certified Eligibility for Adjustments for Damage or Neglect

ICR 200909-2502-002 · OMB 2502-0349 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
83i 2502-0349.doc Supporting Statement A Uploaded 2009-09-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27140 Certified Eligibility for Adjustments for Damage or Neglect Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved 12/31/2009
50 0 50
25 0 25
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Certified Eligibility for Adjustments for Damage or Neglect

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 50 50 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No