Information Collection Request

Assignments of Payments and Joint Payment Authorization

ICR 201410-0560-003 · OMB 0560-0183 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CCC-251 Assignments of Payments and Joint Payment Authorization Form Modified Available
Supporting Statement 2015.doc Supporting Statement A Uploaded 2015-05-04 Available
FSA-85-1 Reporting and Recordkeeping Requirements 2015.doc Supplementary Document Uploaded 2015-04-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1475 Assignments of Payments and Joint Payment Authorization Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved 07/31/2015
66,110 0 211,826
11,002 0 35,266
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Assignments of Payments and Joint Payment Authorization CCC-36, CCC-37, CCC-251, CCC-252, CCC-36 (Spanish), CCC-37 (Spanish) Notice of Assignment ,   Instrument of Assignment ,   Joint Payment Authorization ,   Assignment of Payment. ,   Assignment of Payment ,   Joint Payment Authorization

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 66,110 211,826 0 -145,716 0 0
Annual Time Burden (Hours) 11,002 35,266 0 -24,264 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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