APPLICATION CERTIFICATION, FEDERAL COLLECTION POLICIES FOR CONSUMER OR COMMERCIAL DEBTS

ICR 199409-0575-003

OMB: 0575-0127

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0575-0127 199409-0575-003
Historical Active 199112-0575-002
USDA/RHS
APPLICATION CERTIFICATION, FEDERAL COLLECTION POLICIES FOR CONSUMER OR COMMERCIAL DEBTS
Revision of a currently approved collection   No
Regular
Approved without change 11/15/1994
Retrieve Notice of Action (NOA) 09/01/1994
  Inventory as of this Action Requested Previously Approved
11/30/1997 11/30/1997 02/28/1995
135,000 0 52,400
22,545 0 4,192
0 0 0

FORM FMHA 1910-11 IS NECESSARY TO COMPLY WITH OMB CIRCULAR A-129. THI DOCUMENT INFORMS FMHA LOAN APPLICANTS OF FEDERAL DEBT COLLECTION POLICIES AND PROCEDURES PRIOR TO EXTENDING CREDIT. FORM IS ALSO BEING REVISED TO NOTIFY APPLICANTS THEIR RECORDS WILL BE CHECKED IN ORDER FO FMHA TO DETERMINE DELINQUENCIES AND/OR DEFAULTS ON FEDERAL DEBTS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION CERTIFICATION, FEDERAL COLLECTION POLICIES FOR CONSUMER OR COMMERCIAL DEBTS FMHA 1910-11

  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 135,000 52,400 0 82,600 0 0
Annual Time Burden (Hours) 22,545 4,192 0 18,353 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/01/1994


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