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Death Gratuity Information Sheet
Death Gratuity Information Sheet
OMB:
IC ID: 259673
OMB.report
USCBP
ICR 202212-1651-001
IC 259673
( )
Documents and Forms
Document Name
Document Type
Death Gratuity Information Sheet
Form
Death Gratuity Information Sheet
1651-0NEW Death Gratuity Information Sheet.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Death Gratuity Information Sheet
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form
N/A
Death Gratuity Information Sheet
1651-0NEW Death Gratuity Information Sheet.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
SORN OPM\GOVT-9
FR Citation:
78 FR 60331
Number of Respondents:
33
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
33
0
33
0
0
0
Annual IC Time Burden (Hours)
8
0
8
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.