Information Collection

Insurance Match Debt Inquiry Agreement and Profile

IC 233424 under ICR 202205-0970-005 · OMB 0970-0370.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0370 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Insurance Match Debt Inquiry Agreement and Profile	Form and Instruction
1 Insurance Match Debt Inquiry Agreement and Profile 2 - 0970-0370_Insurance_Match_Debt_Inquiry_Agmt_Profile.pdf	Form and Instruction
1 Insurance Match Debt Inquiry Agreement and Profile 2 - 0970-0370_Insurance_Match_Debt_Inquiry_Agmt_Profile.pdf	Form and Instruction

IC Title:

Insurance Match Debt Inquiry Agreement and Profile

Agency IC Tracking Number:

Is this a Common Form? No

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 and Instruction	1	Insurance Match Debt Inquiry Agreement and Profile	2 - 0970-0370_Insurance_Match_Debt_Inquiry_Agmt_Profile.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	1	1
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.