Information Collection Request
Repayment of Debt
ICR 202303-3220-005 · OMB 3220-0169 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3220-0169 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form G-421F (04-20) Repayment by Credit Card |
Form | Modified | Missing upstream |
| Form G-421F (04-20) Repayment by Credit Card |
Form | Modified | Repair queued |
 3220-0169 .docx |
Supporting Statement A | Uploaded 2023-03-28 | Missing upstream |
 Form DRL-145 (12-17).pdf |
Supplementary Document | Uploaded 2017-12-28 | Repair queued |
| Form DR-422B (02-18).pdf |
Supplementary Document | Uploaded 2023-03-21 | Repair queued |
| Form DR-422A (02-18).pdf |
Supplementary Document | Uploaded 2023-03-21 | Repair queued |
| Form DRL-145 (07-16).pdf |
Supplementary Document | Uploaded 2016-08-04 | Repair queued |
| Form SSA-714 (07-05).pdf |
Supplementary Document | Uploaded 2016-06-08 | Missing upstream |
| Form G-66BA (03-13).pdf |
Supplementary Document | Uploaded 2016-06-08 | Missing upstream |
| DR-422C (09-19).pdf |
Supplementary Document | Uploaded 2023-03-21 | Repair queued |
| Form G-421 (02-18).pdf |
Supplementary Document | Uploaded 2023-03-21 | Repair queued |
| G-66B (02-03).pdf |
Supplementary Document | Uploaded 2006-09-29 | Repair queued |
| G-66 (02-03).pdf |
Supplementary Document | Uploaded 2006-09-29 | Missing upstream |
| Form G-66A (03-13).pdf |
Supplementary Document | Uploaded 2016-06-08 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 45464 |  Repayment by Credit Card |
Form | Modified | |
| 33968 | Repayment by Credit Card |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | RRB |
| OMB Control No | 3220-0169 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201912-3220-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |