Information Collection

4040-0012 SF-270 Request for Advance or Reimbursement Form

IC 218370 under ICR 202108-4040-001 · OMB 4040-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0012 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0012 4040-0012 SF-270 Request for Advance or Reimbursement Form Form
4040-0012 SF-270 Request for Advance or Reimbursement Form 4040-0012 SF270 FORM 2015.pdf Form
4040-0012 SF-270 Request for Advance or Reimbursement Form 4040-0012 SF270 FORM 2015.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	4040-0012 SF-270 Request for Advance or Reimbursement Form	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

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	4040-0012	SF-270 Request for Advance or Reimbursement Form	4040-0012 SF270 FORM 2015.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	100,000	100,000
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.