Information Collection

Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act

IC 226358 under ICR 201702-1105-001 · OMB 1105-0102.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0102 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCSC-2 Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act	Form and Instruction
FCSC-2 Guam Claim Form Guam Claim Form - English.pdf justice.gov/fcsc	Form and Instruction
FCSC-2C Guam Claim Form Guam Claim Form - Chamorro.pdf justice.gov/fcsc	Form and Instruction

IC Title:

Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 45 CFR Part 510 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCSC-2	Guam Claim Form	Guam Claim Form - English.pdf	justice.gov/fcsc	Yes	No	Fillable Printable
Form and Instruction	FCSC-2C	Guam Claim Form	Guam Claim Form - Chamorro.pdf	justice.gov/fcsc	Yes	No	Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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