Information Collection Request

Federal Tax Offset, Administrative Offset, and Passport Denial Programs

ICR 201603-0970-001 · OMB 0970-0161 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Output Record Specifications Form Modified Available
Form 1 Input Record Specifications Form Modified Available
Form 1 FO screen prints transaction passport denial and release Form and Instruction Modified Repair queued
Form 1 Output Record Specifications Form Modified Available
Form 1 Input Record Specifications Form Modified Available
Form 1 Annual Certification Letter Form and Instruction Modified Available
Fed_Offset_PRA Supporting Statement_FINAL - OIRA Comments_OCSE_Responses_2016_08_05 SH upd CLEAN.doc Supporting Statement A Uploaded 2016-08-08 Available
Output Specifications - Non Substantive Change January 2014.doc Supplementary Document Uploaded 2014-01-30 Available
Justification for Change 0970-0161 January 2014.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-01-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9939 Payment File Form ModifiedOutput Record Specifications
9939 Payment File Form ModifiedInput Record Specifications
192238 Federal Offset Processing Menu Screens - State Workers Form and Instruction ModifiedFO screen prints transaction passport denial and release
179585 Output Record Form ModifiedOutput Record Specifications
179584 Input Record Form ModifiedInput Record Specifications
179583 Annual Certification Letter Form and Instruction ModifiedAnnual Certification Letter

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 08/31/2016
57,030 0 57,680
3,021 0 2,929
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Annual Certification Letter 1
Federal Offset Processing Menu Screens - State Workers 1
Input Record 1
Output Record 1
Payment File 1, 1 ,  

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 57,030 57,680 0 -650 0 0
Annual Time Burden (Hours) 3,021 2,929 0 92 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No