Annual Certification Requirements (part 12 And 718), Assignment Of Payments (part 1404), And Power Of Attorney (part 720) Addendum

ANNUAL CERTIFICATION REQUIREMENTS (PART 12 AND 718), ASSIGNMENT OF PAYMENTS (PART 1404), AND POWER OF ATTORNEY (PART 720) ADDENDUM

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0004 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:	ANNUAL CERTIFICATION REQUIREMENTS (PART 12 AND 718), ASSIGNMENT OF PAYMENTS (PART 1404), AND POWER OF ATTORNEY (PART 720) ADDENDUM	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	AD-1026B	No	No
Form	AD-1026C	No	No
Form	AD-1026U	No	No
Form	CCC-502U	No	No
Form	AD-1026	No	No
Form	CCC-1068	No	No
Form	CCC-1069	No	No
Form	CCC-1026A-SUPPL	No	No
Form	ASCS-578	No	No
Form	ASCS-492	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,298,538	7,298,538	0
Annual IC Time Burden (Hours)	2,946,473	921,750	2,024,723
Annual IC Cost Burden (Dollars)	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.