Information Collection Request

Assignments of Payments and Joint Payment Authorization

ICR 201711-0560-001 · OMB 0560-0183 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CCC-251 Assignments of Payments and Joint Payment Authorization Form Modified Available
2018 Supporting Statement.docx Supporting Statement A Uploaded 2018-07-19 Available
FSA-85-1 Reporting and Recordkeeping Requirements .doc Supplementary Document Uploaded 2018-07-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1475 Assignments of Payments and Joint Payment Authorization Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2021 36 Months From Approved 08/31/2018
126,542 0 66,110
21,083 0 11,002
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Assignments of Payments and Joint Payment Authorization CCC-37, CCC-36, CCC-251, CCC-252, CCC-36 (Spanish), CCC-37 (Spanish), CCC-40 Notice of Assignment ,   Instrument of Assignment ,   Joint Payment Authorization ,   Assignment of Payment. ,   Assignment of Payment ,   Joint Payment Authorization ,   REQUEST FOR FSA AND NRCS PAYMENTS OF FEDERAL BENEFITS BY CHECK (Request for Waiver)

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 126,542 66,110 0 45,620 14,812 0
Annual Time Burden (Hours) 21,083 11,002 0 7,603 2,478 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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