Information Collection

Interest Payment Form--Institutions

IC 199219 under ICR 201107-3045-004 · OMB 3045-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Interest Payment Form--Institutions	Form and Instruction
2 Interest Payment Form - Institutions 10Generic interest form 100710.doc www.nationalservice.gov	Form and Instruction

IC Title:

Interest Payment Form--Institutions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	2	Interest Payment Form - Institutions	10Generic interest form 100710.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	600	600
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.