Information Collection Request

Application for Non-Profit Budget and Credit Counseling Agencies

ICR 201208-1105-001 · OMB 1105-0084 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OMB Number 1105-00 Credit Counseling Application Form Modified Repair queued
Form xxxx CC Application Appendix E Form Modified Available
Form xxxx CC Application Appendix d Form Modified Available
Form xxxx CC Appllication C Form Modified Repair queued
Form xxxx CC Application B Form Modified Available
Form xxxx CC Application Appendix A Form Modified Available
1105-0084_01-Credit Counseling Transmittal memo_080112.pdf Supplementary Document Uploaded 2012-08-14 Available
1105-0084_02-CC OMB-83I_080112.pdf Supplementary Document Uploaded 2012-08-14 Available
1105-0084_11-11 USC 111_080112.doc Supplementary Document Uploaded 2012-08-14 Available
1105-0084 -Credit_Counseling_Supporting_Statement with OMB edits_010713.doc Supporting Statement A Uploaded 2013-01-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCredit Counseling Application
11781 Application for Non-Profit Budget and Credit Counseling Agencies Instruction Modified
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCC Application Appendix E
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCC Application Appendix d
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCC Appllication C
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCC Application B
11781 Application for Non-Profit Budget and Credit Counseling Agencies Form ModifiedCC Application Appendix A

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved 01/31/2013
175 0 300
808 0 3,000
8,750 0 150,000





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table that charts list of burden
IC Title Form No. Form Name
Application for Non-Profit Budget and Credit Counseling Agencies xxxx, xxxx, xxxx, xxxx, xxxx, OMB Number 1105-0084 ,   ,   ,   ,   ,  

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 175 300 0 0 -125 0
Annual Time Burden (Hours) 808 3,000 0 0 -2,192 0
Annual Cost Burden (Dollars) 8,750 150,000 0 0 -141,250 0


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