View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Financial Status Report	Agency IC Tracking Number:	2900-0165

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 1.965 38 CFR 1.917 38 CFR 1.931 38 CFR 1.941 38 CFR 1.942 38 CFR 1.912 38 CFR 1.982 38 CFR 1.983

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5655			http://www1.va.gov/debtman	Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57,155	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	57,155	0	0	11,602	0	45,553
Annual IC Time Burden (Hours)	57,155	0	0	11,602	0	45,553
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.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.