Information Collection

Cumulative Claim and Reconciliation Statement

IC 20201 under ICR 201501-1600-001 · OMB 1600-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1600-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS 700-1 Cumulative Claim and Reconciliation Statement	Form
DHS 700-1 Cumulative Claim and Reconciliation Statement DHS_Form_700-01.pdf	Form

IC Title:

Cumulative Claim and Reconciliation Statement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DHS 700-1	Cumulative Claim and Reconciliation Statement	DHS_Form_700-01.pdf		Yes	No	Fillable Printable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 918

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	918	918
Annual IC Time Burden (Hours)	918	918
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.