Information Collection

Forbearance Form

IC 198535 under ICR 202602-3045-002 · OMB 3045-0030.

Documents and Forms

Document Name Document Type
Form 1 2019 Forbearance Forbearance Form Form and Instruction
1 2019 Forbearance Forbearance Form.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Forbearance 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	2019 Forbearance	Forbearance Form.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: CNCS-04-CPO-MPMF-Member Program Management Files	FR Citation: 89 FR 65866

Number of Respondents: 13,182	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 66 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,182	0	13,182
Annual IC Time Burden (Hours)	2,197	0	2,197
Annual IC Cost Burden (Dollars)	105,588	13,578	92,010

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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