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Debtor's Financial Statement
DEBTOR'S FINANCIAL STATEMENT
OMB: 3220-0127
IC ID: 157696
OMB.report
RRB
OMB 3220-0127
ICR 198206-3220-001
IC 157696
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0127 can be found here:
2024-05-21 - Extension without change of a currently approved collection
2020-11-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DEBTOR'S FINANCIAL STATEMENT
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
G-423
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,550
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
1,550
0
0
0
0
1,550
Annual IC Time Burden (Hours)
1,550
0
0
0
0
1,550
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.