Information Collection Request

Application for Extension of Time to Furnish Recipient Statements (Form 15397)

ICR 202307-1545-004 · OMB 1545-2313 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 15397 Application for Extension of Time to Furnish Recipient Statements Form and Instruction New Available
OMB Supporting Statement 15397 New collection lvd.docx Supporting Statement A Uploaded 2023-07-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261044 Application for Extension of Time to Furnish Recipient Statements Form and Instruction NewApplication for Extension of Time to Furnish Recipient Statements
261044 Application for Extension of Time to Furnish Recipient Statements New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 36 Months From Approved
20,000 0 0
14,400 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for Extension of Time to Furnish Recipient Statements 15397

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 20,000 0 0 20,000 0 0
Annual Time Burden (Hours) 14,400 0 0 14,400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No