September 11th Victim Compensation Registration Form

September 11th Victim Compensation Fund Claimant Registration Form

OMB: 1123-0012

IC ID: 199461

Documents and Forms
Document Name
Document Type
Other-Screen Shots
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

September 11th Victim Compensation Registration Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen Shots Screen Shots 09262011.doc Yes Yes Fillable Fileable
Form and Instruction OMB Number 1123-0012 Deceased Compensation Form Deceased Compensation Form - unformatted_102811.doc Yes Yes Fillable Fileable
Form and Instruction OMB Number 1123-0012 Deceased Eligibility Form Deceased Eligibility Form 10282011 939PM.PDF Yes Yes Fillable Fileable
Form and Instruction OMB Number 1123-0012 PI Compensation Form PI Compensation Form - unformatted.doc Yes Yes Fillable Fileable
Form and Instruction OMB Number 1123-0012 PI Eligibility Form Final PI Eligibility Form FINAL 10272011 907PM.PDF Yes Yes Fillable Fileable

General Government Executive Functions

 

70,000 0
   
Individuals or Households
 
   75 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 70,000 0 0 0 0 70,000
Annual IC Time Burden (Hours) 700,000 0 676,900 0 0 23,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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