View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

USVSST Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 10609

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Notice of Filing Claim USVSST Notice of Claim U.S. Victims of State Sponsored Terrorism Fund Notice of Filing Claim.docx http://www.usvsst.com Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Fund Application Form 1_USVSST Fund_Application Form_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Change of Attorney Form 2_USVSST Fund_Change of Attorney Form_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Application's Acknowledgement of Statutory Limitation on Attorneys' Fees 3_USVSST Fund_Applicant's Acknowledgment of Attys' Fees_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 UVSST Attorney's Fee Certification 4_USVSST Fund_Attorneys' Fee Certification_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Authorization for Communication 5_USVSST Fund_Authorization for Communication_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Hearing Request Form 6_USVSST Fund_Hearing Request Form_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST informer Information and Acknowledgement 7_USVSST Fund_Informer Information and Acknowledgment_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Direct Deposit Form 8_USVSST Fund_Direct Deposit - ACH Payment Form_draft.docx Yes Yes Fillable Fileable
Form and Instruction OMB #1123-0013 USVSST Certification of Personal Representative 9_USVSST Fund_Certification of Personal Representative_draft.docx Yes Yes Fillable Fileable

Disaster Management Disaster Repair and Restore

 

700 0
   
Individuals or Households
 
   85 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 700 0 0 0 0 700
Annual IC Time Burden (Hours) 875 0 0 0 0 875
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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