Information Collection

Interest Payment Form

IC 198536 under ICR 201909-3045-007 · OMB 3045-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Interest Payment Form	Form and Instruction
1 Interest Payment Form 2016 Paper Interest Form - May 23 2016 - No Markup - OGC edit .doc www.nationalservice.gov	Form and Instruction
1 Interest Payment Form 20190106 Interest Payment Form1.docx www.nationalservice.gov	Form and Instruction
1 Interest Accrual Form 20200110 Interest Payment Form1.docx www.nationalservice.gov	Form and Instruction

IC Title:

Interest Payment Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	1	Interest Payment Form	2016 Paper Interest Form - May 23 2016 - No Markup - OGC edit .doc	www.nationalservice.gov	No		Paper Only
Form and Instruction	1	Interest Accrual Form	20200110 Interest Payment Form1.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Interest Payment Form	20190106 Interest Payment Form1.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	13,200	13,200
Annual IC Time Burden (Hours)	1,100	1,100
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.