COVID - 19 Refund Modification

COVID-19 Refund Modification

Documents and Forms

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

IC Title:	COVID - 19 Refund Modification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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

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: 86 FR 50210

Number of Respondents: 17,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
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

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.