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Voucher for Federal Aid Reimbursements
Voucher for Federal Aid Reimbursements
OMB: 2125-0507
IC ID: 25924
OMB.report
DOT/FHWA
OMB 2125-0507
ICR 201404-2125-003
IC 25924
( )
Documents and Forms
Document Name
Document Type
Form PR-20
Voucher for Federal Aid Reimbursements
Form
PR-20 Voucher for Work Performed Under Provisions of the Feder
pr20 2014.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Voucher for Federal Aid Reimbursements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
23 CFR 140.609
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
PR-20
Voucher for Work Performed Under Provisions of the Federal Highways Act
pr20 2014.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
12,900
0
0
0
0
12,900
Annual IC Time Burden (Hours)
6,450
0
0
0
0
6,450
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
