OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Financial Status Report

OMB 2900-0165 ยท VA.

OMB 2900-0165

The major use of the form is to document and support eligibility determinations for waivers of collection, for the consideration of compromise offers, or to document information to assist in developing repayment plans.

The latest form for Financial Status Report expires 2026-11-30 and is listed under ICR 202306-2900-026.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 5655 Financial Status ReportForm
Form 5655 Financial Status ReportForm
FSR 2900-0165 30 Day FRN Published.pdf Supplementary Document
Supporting Statement Part A (2900-0165 FSR VA Form 5655 sept23).docxSupporting Statement A
60 Day FRN Published (Monday 071023 Vol. 88 No. 130 FRN Page 43651)(FSR).pdf Supplementary Document
Financial Status Report Form
Financial Status Report Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202306-2900-026 Revision of a currently approved collection 2023-09-29 Approved with change
201911-2900-007 Reinstatement with change of a previously approved collection 2020-06-02 Approved without change
201501-2900-004 Revision of a currently approved collection 2015-05-27 Approved without change
201203-2900-020 Extension without change of a currently approved collection 2012-07-06 Approved without change
200810-2900-010 Extension without change of a currently approved collection 2009-06-05 Approved with change
200605-2900-010 Extension without change of a currently approved collection 2006-05-16 Approved without change
200305-2900-003 Extension without change of a currently approved collection 2003-05-20 Approved without change
200005-2900-001 Reinstatement with change of a previously approved collection 2000-05-19 Approved without change
199109-2900-002 Extension without change of a currently approved collection 1991-09-17 Approved without change
198809-2900-007 Extension without change of a currently approved collection 1988-09-30 Approved without change
198707-2900-014 Extension without change of a currently approved collection 1987-07-31 Approved without change
198408-2900-017 Reinstatement with change of a previously approved collection 1984-08-09 Approved without change
198107-2900-037 No material or nonsubstantive change to a currently approved collection 1981-07-17 Approved with change
198010-2900-001 No material or nonsubstantive change to a currently approved collection 1980-10-22 Approved with change
198009-2900-010 Extension without change of a currently approved collection 1980-09-29 Approved without change
197512-2900-018 Revision of a currently approved collection 1975-12-03 Approved without change

OMB Details

Financial Status Report

Federal Enterprise Architecture: General Government - Legislative Functions

Information collection instruments
FormNameElectronic accessType
Form 5655Financial Status Reportwww1.va.gov/debtmanForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.