View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2900-0165
ICR Reference No:
201203-2900-020
Status:
Historical Active
Previous ICR Reference No:
200810-2900-010
Agency/Subagency:
VA
Agency Tracking No:
2900-0165
Title:
Financial Status Report
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/31/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/06/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2015
36 Months From Approved
10/31/2012
Responses
57,155
0
45,553
Time Burden (Hours)
57,155
0
45,553
Cost Burden (Dollars)
0
0
0
Abstract:
Information reported on this form is necessary to evaluate eligibility for waiver of collection, payment plans or compromises and to determine hardship imposed by an offset schedule as required under 32 USC 3711, 3716 and 5 USC 5514.
Authorizing Statute(s):
US Code:
31 USC 3711
Name of Law: Collection and compromise
US Code:
38 USC 5314
Name of Law: Indebtedness offsets
US Code:
38 USC 3716
Name of Law: Administrative offset
US Code:
38 USC 3717
Name of Law: Interest and penalty on claims
US Code:
38 USC 3718
Name of Law: Contracts for collection services
US Code:
38 USC 5316
Name of Law: Authority to sue to collect certain debts
US Code:
5 USC 5514
Name of Law: Installment deduction for indebtedness to the United States
US Code:
38 USC 5302
Name of Law: Waiver of recovery of claims by the United States
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 71
04/12/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 127
07/02/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Financial Status Report
5655
Financial Status Report
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
57,155
45,553
0
0
11,602
0
Annual Time Burden (Hours)
57,155
45,553
0
0
11,602
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Debt Management Center continues to experience a surge in compensation and pension debts as well as education debts. We believe the increase in compensation and pension debts is attributable to the effectiveness of the three pension centers in the Veterans Benefits Administration as well as the increased level of full-time employees working in veterans service centers. We believe the increase in education debts is directly related to the 9/11 GI education program. Accordingly, we have adjusted the expected level of waiver requests, offers of compromise and applications for payment plans proportionately with the recent increase of newly established debt.
Annual Cost to Federal Government:
$91,448
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/06/2012
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