Information Collection

Payment Summary Spreadsheet

IC 243157 under ICR 202204-2130-006 · OMB 2130-0615.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0615 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 252 Payment Summary Spreadsheet	Form
FRA F 252 Payment Summary Spreadsheet FRA_F_252_Payment_Summary.xls	Form
FRA F 252 Payment Summary Spreadsheet FRA_F_252_Payment_Summary.xls	Form

IC Title:

Payment Summary Spreadsheet

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 252	Payment Summary Spreadsheet	FRA_F_252_Payment_Summary.xls		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 215

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	860	860
Annual IC Time Burden (Hours)	430	430
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.