Information Collection Request

COVID-19 Refund Modification

ICR 202109-2900-001 · OMB 2900-0891 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-Day FRN - 2900-0891 (2021).pdf Supplementary Document Uploaded 2021-11-16 Repair queued
SupportingStatement - OMB #2900-0891 - COVID 19 - Refund Modification.docx Supporting Statement A Uploaded 2021-11-10 Repair queued
2900-0891_60-Day_FRN.pdf Supplementary Document Uploaded 2021-11-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248154 COVID - 19 Refund Modification Other-Note and Security Instrument Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2022
17,200 17,200
25,800 25,800
869,116 869,116





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
COVID - 19 Refund Modification

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 17,200 17,200 0 0 0 0
Annual Time Burden (Hours) 25,800 25,800 0 0 0 0
Annual Cost Burden (Dollars) 869,116 869,116 0 0 0 0


Reginfo record details
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