Information Collection Request

Notification of Changes of Insured Status

ICR 202407-3064-002 · OMB 3064-0124 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SPST-0124 Notification of Changes in Insured Status 2024 RenewaL FINAL.docx Supporting Statement A Uploaded 2024-10-22 Missing upstream
FR2 0124 Notification of Change in Insured Status 89 FR 84136 Oct 21 2024.pdf Supplementary Document Uploaded 2024-10-22 Repair queued
FR1 0124 - Notification of Change in Insured Status 89 FR 67635 Aug 21 2024.pdf Supplementary Document Uploaded 2024-10-02 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
42569 Notification of Changes of Insured Status Modified
232163 Certification Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 11/30/2024
174 248
186 256
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Certification
Notification of Changes of Insured Status

table that charts list of burden
  Total Request 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 174 248 0 0 -74 0
Annual Time Burden (Hours) 186 256 0 0 -70 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No