Information Collection Request

Application for payment of amounts due persons who have died, disappeared, or declared incompetent

ICR 201304-0560-007 · OMB 0560-0026 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FSA-325 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Form and Instruction Unchanged Available
supporting statement 2013.doc Supporting Statement A Uploaded 2013-10-30 Available
FSA85-1 Reporting and Recordkeeping Requirements 2013.doc Supplementary Document Uploaded 2013-10-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1312 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 02/28/2014
2,000 0 2,000
3,000 0 3,000
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Application for payment of amounts due persons who have died, disappeared, or declared incompetent FSA-325 Application for Payment of Amounts Due Persons Who Have Died, Disappeared, or Have Been Declared Incompetent

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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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