Information Collection

Payment Summary Spreadsheet

IC 243157 under ICR 202008-2130-002 · OMB 2130-0615.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0615 can be found here:

Documents and Forms

Document Name Document Type
Form FRA F 252 Payment Summary Spreadsheet Form
FRA F 252 Payment Summary Spreadsheet FRA_F_252_Payment_Summary.xls Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Payment Summary Spreadsheet	Agency IC Tracking Number:

Is this a Common Form? Yes		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
Form	FRA F 252	Payment Summary Spreadsheet	FRA_F_252_Payment_Summary.xls		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 215	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	860	860
Annual IC Time Burden (Hours)	430	430
Annual IC Cost Burden (Dollars)	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.