Voucher and Payment Request Form

Voucher and Payment Request Form

OMB: 3045-0014

IC ID: 42256

Documents and Forms
Information Collection (IC) Details

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Voucher and Payment Request Form N/A
 
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
Form and Instruction 2 2010 Voucher and Payment Request Form 10Generic voucher100710.doc www.nationalservice.gov Yes Yes Fillable Fileable Signable

Community and Social Services Social Services

System of Records Notice  67 FR 4395

142,000 0
   
Individuals or Households
 
   95 %

  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 142,000 0 0 97,000 0 45,000
Annual IC Time Burden (Hours) 11,833 0 0 8,083 0 3,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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