Repayment by Credit Card

Repayment of Debt

OMB: 3220-0169

IC ID: 33968

Information Collection (IC) Details

View Information Collection (IC)

Repayment by Credit Card
 
No Modified
 
Voluntary
 
20 CFR 255

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-421F (07-16) Repayment by Credit Card Form G-421F (07-16).pdf No   Paper Only
Form G-421F (12-17) Repayment by Debit Card Form G-421F (12-17).pdf No   Paper Only

Income Security General Retirement and Disability

RRB- 21, Railroad Retirement Survivor and Pensioner Benefit System  79 FR 58874

360 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 360 0 0 0 0 360
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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