Information Collection Request

MT MGA Disbursement Approval Request

ICR 201607-3048-002 · OMB 3048-0049 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form EIB 12-01 MT MGA Disbursement Approval Request Form and Instruction Modified Available
EIB 12-01 Disbursement Request 2-5-13.docx Supporting Statement B Uploaded 2013-07-23 Available
EIB 12-01 Supporting Statement Finalv2.doc Supporting Statement A Uploaded 2016-12-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207882 MT MGA Disbursement Approval Request Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2019 36 Months From Approved 12/31/2016
150 0 150
75 0 75
0 0 1,359





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
MT MGA Disbursement Approval Request EIB 12-01 MT MGA Disbursement Approval Request

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 150 150 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 0 1,359 0 -1,359 0 0


Reginfo record details
  No