Information Collection Request

Ombudsman Matter Management System (OMMS) Submission Form

ICR 202303-3235-038 · OMB 3235-0748 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3235-0748 OMMS Form Form Modified Available
Form OMMS OMMS Submisssion Form Form and Instruction Modified Available
Form OMMS Form OMMS Form Form Modified Available
Form OMMS Form Ombudsman Matter Management System (OMMS) Form Modified Repair queued
3235-0748.pdf Supplementary Document Uploaded 2023-04-27 Repair queued
3235-0748.pdf Supplementary Document Uploaded 2023-04-27 Repair queued
OMMS Form TABLE 2 for Supporting Statement (Feb 2023 FINAL).docx Supporting Statement B Uploaded 2023-03-23 Repair queued
Emergency Request Memo Dec 6 2022 OMMS SIGNED dlb.pdf Supplementary Document Uploaded 2022-12-08 Repair queued
SUPPORTING STATEMENT OMMS Form (Feb 2023 FINAL).docx Supporting Statement A Uploaded 2023-03-23 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 36 Months From Approved 06/30/2023
1,500 0 800
750 0 400
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Ombudsman Matter Management System (OMMS) OMMS, OMMS Form, 3235-0748 ,   ,  

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 1,500 800 0 0 700 0
Annual Time Burden (Hours) 750 400 0 0 350 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No