Information Collection

Application for Payment

IC 36941 under ICR 199707-0578-001 · OMB 0578-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0578-0018 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Payment	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	SCS-FNM-141				No	No
Form	CCC-1202				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,467	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38,667	20,000	18,667
Annual IC Time Burden (Hours)	9,684	5,000	4,684
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.