Information Collection

Claims of United States Nationals Against Iraq

IC 205302 under ICR 201301-1105-001 · OMB 1105-0098.

Documents and Forms

Document Name Document Type
Iraq - Referral from State_010913.pdf Other-Referral
Iraq - Settlement Agreement_010913.pdf Other-Agreement
Iraq - Instructions - v 4- for completeing Statement of Claim under First LIraq Referral_010913.doc Instruction
FCSC Form 1-12 Statement of Claim Iraq - November 2012 v 3 Referral Claim Form_010913.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claims of United States Nationals Against Iraq	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Referral			Iraq - Referral from State_010913.pdf	Yes	Yes	Paper Only
Other-Agreement			Iraq - Settlement Agreement_010913.pdf	Yes	Yes	Paper Only
Form	FCSC Form 1-12	Statement of Claim	Iraq - November 2012 v 3 Referral Claim Form_010913.pdf	Yes	Yes	Fillable Printable
Instruction			Iraq - Instructions - v 4- for completeing Statement of Claim under First LIraq Referral_010913.doc	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.