Information Collection

Interest Payment Form

IC 198536 under ICR 201606-3045-003 · OMB 3045-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0053 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Interest Payment Form Form and Instruction
1 Interest Payment Form 2016 Paper Interest Form - May 23 2016 - No Markup - OGC edit .doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interest Payment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	1	Interest Payment Form	2016 Paper Interest Form - May 23 2016 - No Markup - OGC edit .doc	www.nationalservice.gov	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,200	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	13,200	-800	14,000
Annual IC Time Burden (Hours)	1,100	867	233
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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