Information Collection Request

Power of Attorney

ICR 201611-0560-001 · OMB 0560-0190 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FSA 211-211A Power of Attorney (POA) Form Modified Available
supporting statement 2017.doc Supporting Statement A Uploaded 2017-04-17 Available
FSA0085-1 Recordkeeping and Reporting Requirements 2017.doc Supplementary Document Uploaded 2017-04-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1488 Power of Attorney Form ModifiedPower of Attorney (POA)
1488 Power of Attorney Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
51,385 0 51,385
64,256 0 64,256
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Power of Attorney FSA 211-211A

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 51,385 51,385 0 0 0 0
Annual Time Burden (Hours) 64,256 64,256 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No