Information Collection

ERA2 Recipient Payment Information Form

IC 246824 under ICR 202104-1505-004 · OMB 1505-0270.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0270 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ERA2 Recipient Payment Information Form	Form and Instruction
Recipient Payment Information Form ERA 2 - Recipient Payment Information Form_Final.docx	Form and Instruction

IC Title:

ERA2 Recipient Payment Information Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Recipient Payment Information Form	ERA 2 - Recipient Payment Information Form_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 482

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	482	482
Annual IC Time Burden (Hours)	121	121
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.