Information Collection

Global Reimbursement Checklist

IC 243131 under ICR 202008-0750-001 · OMB 0750-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0750-0003 can be found here:

Documents and Forms

Document Name Document Type
TAB A3 - Global Reimb Checklist - 2020-OZZZZ 08.11.20 Final.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Global Reimbursement Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TAB A3 - Global Reimb Checklist - 2020-OZZZZ 08.11.20 Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	960,000	960,000
Annual IC Cost Burden (Dollars)	55,489,600	55,489,600

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.