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Federal forms, ICRs, and supporting documents

Information Collection

Financial Capability Form

IC 222054 under ICR 202602-1122-002 · OMB 1122-0030.

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Financial Capability Form 1122-0030
 
Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1122-0030 APPLICANT FINANCIAL CAPABILITY QUESTIONNAIRE omb_approved_afcq_Feb_2026.pdf https://www.justice.gov/ovw/media/859261/dl Yes Yes Fillable Fileable Signable

Community and Social Services Social Services

 

40 40
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 160 0 0 0 0 160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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