Information Collection Request

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

ICR 202604-1545-011 · OMB 1545-2313 · Received in OIRA

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 Modified Available
1545-2313 Supporting Statement - Form 15397.docx Supporting Statement A Uploaded 2026-08-26 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2026
35,000 20,000
25,200 14,400
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 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 35,000 20,000 0 0 15,000 0
Annual Time Burden (Hours) 25,200 14,400 0 0 10,800 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No