Information Collection Request

Ombudsman Matter Management System (OMMS) Submission Form

ICR 201906-3235-003 · OMB 3235-0748 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OMMS OMMS Submisssion Form Form and Instruction Modified Available
Form OMMS Form OMMS Form Form Modified Repair queued
2019.08.21 OMMS Supporting Statement.pdf Supporting Statement A Uploaded 2019-08-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222733 Ombudsman Matter Management System (OMMS) Form and Instruction ModifiedOMMS Submisssion Form
222733 Ombudsman Matter Management System (OMMS) Form ModifiedOMMS Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2022 36 Months From Approved 10/31/2019
800 0 500
400 0 250
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Ombudsman Matter Management System (OMMS) OMMS Form, OMMS ,  

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 800 500 0 0 300 0
Annual Time Burden (Hours) 400 250 0 0 150 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No