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Federal forms, ICRs, and supporting documents

Information Collection

Future Income Payments Claims Form

IC 277853 under ICR 202505-3170-001 · OMB 3170-0024.

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Document Name
Document Type
Form
Form
IC Document
Information Collection (IC) Details

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Future Income Payments Claims Form
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A Future Income Payments Processing Form Future Income Payments Processing Form.docx Yes Yes Fillable Printable

Economic Development Financial Sector Oversight

CFPB.025 - Civil Penalty Fund and Bureau-Administered Redress Program Records  83 FR 23435

1,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3170-0024 - Future Income Payments Claims Form (Supporting Statement) 3170-0024 - Future Income Payments Claims Form (Supporting Statement).docx 10/09/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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