Information Collection Request

Retroactive Stop Loss Special Pay

ICR 200910-0704-001 · OMB 0704-0464 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
190960 Retroactive Stop Loss Special Pay New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2010 6 Months From Approved
185,887 0 0
92,944 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Retroactive Stop Loss Special Pay DD Form x595

table that charts list of burden
  Total Request 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 185,887 0 185,887 0 0 0
Annual Time Burden (Hours) 92,944 0 92,944 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No