Notice of Lien

Documents and Forms

Document Name Document Type
Form 1 Notice of Lien Form and Instruction
1 Notice of Lien PRA Notice of Lien Form 08012013 Submitted.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Lien	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Notice of Lien	PRA Notice of Lien Form 08012013 Submitted.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,876,922	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,876,922	1,767,254	109,668
Annual IC Time Burden (Hours)	469,231	441,814	27,417
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.