Repayment by Credit Card

Repayment of Debt

OMB: 3220-0169

IC ID: 45464

Information Collection (IC) Details

View Information Collection (IC)

Repayment by Credit Card
 
No Modified
 
Voluntary
 
20 CFR 340

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

Income Security Unemployment Compensation

Railroad Unemployment and Sickness Insurance Benefit System   79 FR 58874

175 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 175 0 0 0 0 175
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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