Information Collection

COVID - 19 Refund Modification

IC 248154 under ICR 202106-2900-014 · OMB 2900-0891.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0891 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
COVID_Refund_Modification-Sample_Instrument.docx	Other-Note and Security Instrument
COVID_Refund_Modification-Sample_Instrument.docx	Other-Note and Security Instrument

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

COVID - 19 Refund Modification

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
Other-Note and Security Instrument			COVID_Refund_Modification-Sample_Instrument.docx		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: 55VA26, Loan Guaranty Home, Condominium and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records and Vendee Loan Applicant Records - VA

FR Citation: 84 FR 4138

Number of Respondents: 17,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,200	17,200
Annual IC Time Burden (Hours)	25,800	25,800
Annual IC Cost Burden (Dollars)	869,116	869,116

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.