Information Collection Request

COVID-19 Supplemental Payment Requests

ICR 202110-2502-004 · OMB 2502-0619 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2502-0619 - Emergency Letter to OMB-COVID-19 Supplemental Payment Requests_Reinstatement_October 2021_PDF (002).pdf Supplementary Document Uploaded 2021-10-14 Repair queued
DRAFT 52671-e_Round IV_10-8_for Posting_Accessible.pdf Supplementary Document Uploaded 2021-10-14 Repair queued
2502-0619 -Supporting Statement.docx Supporting Statement A Uploaded 2021-10-14 Repair queued
Regulations and Law (COVID19).pdf Supplementary Document Uploaded 2020-07-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242755 COVID-19 Supplemental Payment Requests Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved
23,200 0
25,520 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
COVID-19 Supplemental Payment Requests

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 23,200 0 0 0 0 23,200
Annual Time Burden (Hours) 25,520 0 0 0 0 25,520
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No