Information Collection

Third Party Damage Claims

IC 20577 under ICR 202206-1625-002 · OMB 1625-0067.

Documents and Forms

Document Name Document Type
1625-0067_Inst_r0_2022.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Third Party Damage Claims	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 33 CFR 2713

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0067_Inst_r0_2022.docx		Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title: DHS/All-007 Accounts Payable	FR Citation: 83 FR 65705

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11	0	-169	180
Annual IC Time Burden (Hours)	270	0	10	260
Annual IC Cost Burden (Dollars)	339,145	-5,210,500	0	5,549,645

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.