Information Collection

Encouraging Balance Repayment

IC 227890 under ICR 202003-1545-011 · OMB 1545-2256.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2256 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview Script for Encouraging Balance Repayment.docx	Other-Interview Script
Short Form-Encouraging Balance Repayment.doc Short Form - Encouraging Balance Repayments	IC Document

IC Title:

Encouraging Balance Repayment

Agency IC Tracking Number:

Ready for Agency Review

IC Status: Removed

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-Interview Script			Interview Script for Encouraging Balance Repayment.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-48	48
Annual IC Time Burden (Hours)	-65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Short Form - Encouraging Balance Repayments	Short Form-Encouraging Balance Repayment.doc	08/11/2017

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