Information Collection Request

Application for Domestic Indemnification

ICR 202003-3135-010 · OMB 3135-0123 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Domestic Indemnity Application Instructions 2020.pdf Supplementary Document Uploaded 2020-03-18 Repair queued
Domestic Indemnity Supporting Statement A 2020.pdf Supporting Statement A Uploaded 2020-03-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
246725 Application for Domestic Indemnification New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2021
18 18
720 720
37,746 37,746






table that charts list of burden
  Total Request 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 18 18 0 0 0 0
Annual Time Burden (Hours) 720 720 0 0 0 0
Annual Cost Burden (Dollars) 37,746 37,746 0 0 0 0


Reginfo record details
  No