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 Assignments of Payments and 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 Form Modified

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) Joint Payment Authorization ,   Assignment of Payment. ,   Assignment of Payment ,   Joint Payment Authorization ,   Notice of Assignment ,   Instrument of Assignment

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