Request for Recurring Electronic Payments

Accounts Receivable Forms for Debt Repayment

OMB: 1530-0075

IC ID: 255632

Information Collection (IC) Details

View Information Collection (IC)

Request for Recurring Electronic Payments
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FS Form 00122 Request for Recurring Electronic Payments Request for Recurring Electronic Payments.pdf Yes No Fillable Fileable

General Government Central Fiscal Operations

 

20 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20 0 20 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 87 0 87 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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