Information Collection Request

Assignments of Payments and Joint Payment Authorization

ICR 201112-0560-002 · OMB 0560-0183 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CCC-37 (Spanish) Joint Payment Authorization Form Modified Repair queued
Form CCC-36 (Spanish) Assignment of Payment Form Modified Available
Form CCC-36 Assignment of Payment. Form Modified Available
Form CCC-252 Instrument of Assignment Form Modified Available
Form CCC-251 Notice of Assignment Form Modified Available
Form CCC-37 Joint Payment Authorization Form Modified Available
Supporting_Statement_2012.doc Supporting Statement A Uploaded 2012-05-30 Available
FSA-85-1 Reporting and Recordkeeping Requirements.doc Supplementary Document Uploaded 2012-05-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1475 Assignments of Payments and Joint Payment Authorization Instruction Modified
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedJoint Payment Authorization
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedAssignment of Payment
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedAssignment of Payment.
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedInstrument of Assignment
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedNotice of Assignment
1475 Assignments of Payments and Joint Payment Authorization Form ModifiedJoint Payment Authorization

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2015 36 Months From Approved 07/31/2012
211,826 0 70,900
35,266 0 11,778
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Assignments of Payments and Joint Payment Authorization CCC-36, CCC-37, CCC-251, CCC-252, CCC-36 (Spanish), CCC-37 (Spanish) ,   ,   ,   ,   ,  

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 211,826 70,900 0 0 140,926 0
Annual Time Burden (Hours) 35,266 11,778 0 0 23,488 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No