Voucher and Payment Request Form

Voucher and Payment Request Form

OMB: 3045-0014

IC ID: 42256

Information Collection (IC) Details

View Information Collection (IC)

Voucher and Payment Request Form N/A
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 2016 Voucher and Payment Request Form 2016 Manual voucher May 23 2016 OGC - FINAL - OGC edit.doc www.nationalservice.gov Yes Yes Fillable Fileable Signable

Community and Social Services Social Services

System of Records Notice  67 FR 4395

162,000 0
   
Individuals or Households
 
   100 %

  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 162,000 0 0 148,800 13,200 0
Annual IC Time Burden (Hours) 13,500 0 0 12,400 1,100 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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