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Debt Collection Financial Statement
Debt Collection Financial Statement
OMB: 1660-0011
IC ID: 21056
OMB.report
DHS/FEMA
OMB 1660-0011
ICR 202006-1660-009
IC 21056
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form 127-0-1
Debt Collection Financial Statement
Form
FEMA Form 127-0-1 Debt Collection Financial Statement
FEMA Form 127-0-1, 1-25-18.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Debt Collection Financial Statement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FEMA Form 127-0-1
Debt Collection Financial Statement
FEMA Form 127-0-1, 1-25-18.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
DHS/ALL-008 – Department of Homeland Security Accounts Receivable System of Records
FR Citation:
73 FR 61885
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
300
0
0
0
300
0
Annual IC Time Burden (Hours)
225
0
0
0
225
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
