Financial Capability Form

Financial Capability Form

OMB: 1122-0030

IC ID: 222054

Information Collection (IC) Details

View Information Collection (IC)

Financial Capability Form 1122-XXXX
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1122-XXXX Financial Capability Form Revised FCQ for OVW 2016.docx www.usdoj.gov/ovw Yes Yes Paper Only

Community and Social Services Social Services

 

40 40
   
Private Sector Not-for-profit institutions
 
   0 %

  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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 160 0 160 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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