Information Collection Request

Application for payment of amounts due persons who have died, disappeared, or declared incompetent

ICR 202301-0560-012 · OMB 0560-0026 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FSA-325 Application for Payment of Amounts Due Persons Who Have Died, Disappeared, or Have Been Declared Incompetent Form Unchanged Available
Form FSA-325 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Form Unchanged Repair queued
Supporting Document 2023 (0560-0026).docx Supporting Statement A Uploaded 2023-04-04 Repair queued
Reporting and Recordkeeping Requirements 2023.xlsx Supplementary Document Uploaded 2023-04-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1312 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Instruction Unchanged
1312 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Form UnchangedApplication for Payment of Amounts Due Persons Who Have Died, Disappeared, or Have Been Declared Incompetent
1312 Application for payment of amounts due persons who have died, disappeared, or declared incompetent Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 05/31/2023
2,000 0 2,000
1,000 0 1,000
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for payment of amounts due persons who have died, disappeared, or declared incompetent FSA-325

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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No