Information Collection

Application Certification, Federal Collection Policies For Consumer Or Commercial Debts

IC 101321 under ICR 199409-0575-003 · OMB 0575-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0127 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION CERTIFICATION, FEDERAL COLLECTION POLICIES FOR CONSUMER OR COMMERCIAL DEBTS	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
Form	FMHA 1910-11				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 135,000	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	135,000	82,600	52,400
Annual IC Time Burden (Hours)	22,545	18,353	4,192
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.