Information Collection

Debt Collection (formerly Claims Collections)

IC 152105 under ICR 198605-3067-003 · OMB 3067-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0122 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	DEBT COLLECTION (FORMERLY CLAIMS COLLECTIONS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	300	100
Annual IC Time Burden (Hours)	800	600	200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.