Information Collection

Submitting Payment Information

IC 234085 under ICR 201811-1652-002 · OMB 1652-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0039 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0-0-1 Approval_rtf - 3-21-18.rtf	Other-Letter
0-0-2 Settlement_updated rtf - 3-21-18.rtf	Other-Letter

IC Title:

Submitting Payment Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Letter			0-0-1 Approval_rtf - 3-21-18.rtf		Yes	Yes	Fillable Printable
Other-Letter			0-0-2 Settlement_updated rtf - 3-21-18.rtf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	200	200
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.