Information Collection Request

Ombudsman Matter Management System (OMMS) Submission Form

ICR 202212-3235-005 · OMB 3235-0748 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OMMS OMMS Submisssion Form Form and Instruction Unchanged Available
Form OMMS Form OMMS Form Form Unchanged Repair queued
Form OMMS Form Ombudsman Matter Management System (OMMS) Form Unchanged Repair queued
Emergency Request Memo Dec 6 2022 OMMS SIGNED dlb.pdf Supplementary Document Uploaded 2022-12-08 Available
Emergency Request Memo Dec 6 2022 OMMS SIGNED dlb.pdf Supplementary Document Uploaded 2022-12-08 Repair queued
2019.08.21 OMMS Supporting Statement.pdf Supporting Statement A Uploaded 2019-08-21 Available
2019.08.21 OMMS Supporting Statement.pdf Supporting Statement A Uploaded 2019-08-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222733 Ombudsman Matter Management System (OMMS) Form and Instruction UnchangedOMMS Submisssion Form
222733 Ombudsman Matter Management System (OMMS) Form UnchangedOMMS Form
222733 Ombudsman Matter Management System (OMMS) Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2023 6 Months From Approved
800 0 0
400 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Ombudsman Matter Management System (OMMS) OMMS, OMMS Form ,  

table that charts list of burden
  Total Approved 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 800 0 0 0 0 800
Annual Time Burden (Hours) 400 0 0 0 0 400
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No