Input Record

Federal Tax Offset, Administrative Offset, and Passport Denial Programs

OMB: 0970-0161

IC ID: 179584

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Input Record
 
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
Instruction PRA - Input Record Spec 04-01-13.doc Yes Yes Printable Only

Health Illness Prevention

Location and Collection system  78 FR 5812

54 0
   
State, Local, and Tribal Governments
 
   99 %

  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 2,808 0 0 0 0 2,808
Annual IC Time Burden (Hours) 842 0 0 0 0 842
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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