Financial Status Report

ICR 201501-2900-004

OMB: 2900-0165

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2015-04-16
Supporting Statement A
2015-09-11
IC Document Collections
IC ID
Document
Title
Status
44123 Modified
ICR Details
2900-0165 201501-2900-004
Historical Active 201203-2900-020
VA 2900-0165
Financial Status Report
Revision of a currently approved collection   No
Regular
Approved without change 09/28/2015
Retrieve Notice of Action (NOA) 05/27/2015
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved 09/30/2015
95,570 0 57,155
95,570 0 57,155
0 0 0

Information reported on this form is necessary to evaluate eligibility for waiver of collection, payment plans or compromises and to determine hardship imposed by an offset schedule as required under 32 USC 3711, 3716 and 5 USC 5514.

US Code: 38 USC 5314 Name of Law: Indebtedness offsets
   US Code: 31 USC 3711 Name of Law: Collection and compromise
   US Code: 38 USC 3716 Name of Law: Administrative offset
   US Code: 38 USC 3717 Name of Law: Interest and penalty on claims
   US Code: 38 USC 3718 Name of Law: Contracts for collection services
   US Code: 38 USC 5316 Name of Law: Authority to sue to collect certain debts
   US Code: 5 USC 5514 Name of Law: Installment deduction for indebtedness to the United States
   US Code: 38 USC 5302 Name of Law: Waiver of recovery of claims by the United States
  
None

Not associated with rulemaking

  80 FR 27 02/10/2015
80 FR 86 05/05/2015
No

1
IC Title Form No. Form Name
Financial Status Report 5655 Financial Status Report

  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 95,570 57,155 0 38,415 0 0
Annual Time Burden (Hours) 95,570 57,155 0 38,415 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There is an increase in respondent total and burden hour due to the fact that the Debt Management Center continues to experience a surge in compensation and pension debts as well as education debts. It is believed the increase in compensation and pension debts is attributable to the focus on improper payments within the Veterans Benefits Administration as well as maintenance processing on established claims.

$448,206
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@va.gov

  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.
05/27/2015


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