Information Collection

Important Information About Your Appeal, Waiver Rights and Repayment Options - Debt Management System

IC 191691 under ICR 202108-0960-002 · OMB 0960-0779.

Documents and Forms

Document Name Document Type
DMS Screenshot.pdf Other-Intranet Screens (phone call)
DMS Screenshot.pdf Other-Intranet Screens (phone call)

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Important Information About Your Appeal, Waiver Rights and Repayment Options - Debt Management System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.502-.521

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Intranet Screens (phone call)			DMS Screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 166,666	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	166,666	-33,334	200,000
Annual IC Time Burden (Hours)	125,000	75,000	50,000
Annual IC Cost Burden (Dollars)	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.

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