Information Collection

Debt Collection Financial Statement

IC 21056 under ICR 202503-1660-001 · OMB 1660-0011.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-600-F Debt Collection Financial Statement Form
Form FEMA Form FF-600-F Debt Collection Financial Statement Debt Collection Financial Statement Form
FEMA Form FF-600-F Debt Collection Financial Statement DCFS_FF-600-FY-22-102 (formerly 127-0-1).pdf Form
FEMA Form FF-600-F Debt Collection Financial Statement DCFS_FF-600-FY-22-102 (formerly 127-0-1).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Debt Collection Financial Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-600-FY-22-102 (formerly 127-0-1)	Debt Collection Financial Statement	DCFS_FF-600-FY-22-102 (formerly 127-0-1).pdf		Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/ALL-008 â Accounts Receivable System of Records	FR Citation: 80 FR 65176

Number of Respondents: 140	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	140	-160	300
Annual IC Time Burden (Hours)	105	-120	225
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.

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