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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.