Second Request For Information To Handle Problem Resolution Case

SECOND REQUEST FOR INFORMATION TO HANDLE PROBLEM RESOLUTION CASE

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0668 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	SECOND REQUEST FOR INFORMATION TO HANDLE PROBLEM RESOLUTION CASE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	1671C,	No	No
Form	1671(DO),	No	No
Form	1671(SC)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	45,500	45,500
Annual IC Time Burden (Hours)	9,100	9,100
Annual IC Cost Burden (Dollars)	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.