View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Submitting Payment Information	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
Other-Letter					Yes	Yes	Fillable Printable
Other-Letter					Yes	Yes	Fillable Printable
Other-Letter					Yes	Yes	Fillable Printable
Other-Letter					Yes	Yes	Fillable Printable
Form and Instruction	600				Yes	Yes	Fillable Fileable
Other-PRA Stmt Mockup					Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/TSA 013 DHS Claims Records	FR Citation: 73 FR 63987

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	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	900	0	0	-350	0	1,250
Annual IC Time Burden (Hours)	150	0	0	-58	0	208
Annual IC Cost Burden (Dollars)	0	0	0	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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