Information Collection Request

Third Party Authorization Form

ICR 202108-1845-006 · OMB 1845-0165 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Third Party Authorization Form Form and Instruction New Available
TPA 1845 Public Comment FSA Responses 20220223.docx Supplementary Document Uploaded 2022-02-23 Repair queued
1845-NEW Supporting Statement Third Party Auth form 30D.docx Supporting Statement A Uploaded 2022-02-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248983 Third Party Authorization Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
25,000 0
100,000 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Third Party Authorization Form N/A N/A

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 0 0 25,000 0 0
Annual Time Burden (Hours) 100,000 0 0 100,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No