Information Collection

Requesting payment plans on bills (individuals)

IC 189563 under ICR 201603-1076-002 · OMB 1076-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0141 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Requesting payment plans on bills (individuals)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 171.550

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 107	Number of Respondents for Small Entity: 107

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	107	-19	126
Annual IC Time Burden (Hours)	214	-38	252
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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