Debt Collection Financial Statement

ICR 201707-1660-002

OMB: 1660-0011

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2017-08-29
Supplementary Document
2017-08-29
Supplementary Document
2017-08-08
Supplementary Document
2017-08-08
Supplementary Document
2017-08-08
Supplementary Document
2014-05-13
Supplementary Document
2014-05-13
Supplementary Document
2014-05-13
Supplementary Document
2017-08-08
Supplementary Document
2014-06-02
Supplementary Document
2017-08-08
Supplementary Document
2017-08-08
Supplementary Document
2014-06-02
Supplementary Document
2014-06-02
Supplementary Document
2017-08-08
Supplementary Document
2014-05-13
Supplementary Document
2017-07-26
Supplementary Document
2008-01-16
IC Document Collections
IC ID
Document
Title
Status
21056 Modified
ICR Details
1660-0011 201707-1660-002
Historical Active 201404-1660-005
DHS/FEMA
Debt Collection Financial Statement
Revision of a currently approved collection   No
Regular
Approved without change 01/19/2018
Retrieve Notice of Action (NOA) 08/31/2017
Given 18 months for noncompliance with GPEA. The agency should investigate ways to provide and receive forms electronically in a secure fashion.
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 01/31/2018
300 0 2,000
225 0 1,500
0 0 0

FEMA may request debtors to provide personal financial information on FEMA Form 127-0-1 concerning their current financial position. With this information, FEMA evaluates whether to allow its debtors to pay their FEMA debts under installment repayment agreements and if so, under what terms. FEMA also uses this data to determine whether to compromise, suspend, or completely terminate collection efforts on respondent's debts. This data is also used to locate the debtor's assets if the debts are sent for judicial enforcement.

US Code: 31 USC 3711 Name of Law: Collection and Compromise
  
None

Not associated with rulemaking

  82 FR 18154 04/17/2017
82 FR 30881 07/03/2017
No

1
IC Title Form No. Form Name
Debt Collection Financial Statement FEMA Form 127-0-1 Debt Collection Financial Statement

  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 300 2,000 0 0 -1,700 0
Annual Time Burden (Hours) 225 1,500 0 0 -1,275 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
In an effort to collect erroneous overpayments to individuals, FEMA is making a greater effort to provide installment agreements to those with debts to the agency but who are financially unable to pay their debts in a single payment. There have been some changes in the information being collected using FEMA Form 127-0-1. The decrease in the annual hour burden is due to a policy change which enables FEMA Debt Collectors to verbally negotiate payment plans by telephone. The program updated their Standard Operating Procedures (SOP) in 2016, in which the procedures changed and required a little more information. Therefore, changes were made to FEMA Form 127-0-1. See Forms Revision Chart and Debt Resolution SOP.

$49,570
No
    Yes
    Yes
No
No
No
Uncollected
Sherina Greene 202 646-4343 sherina.greene@associates.dhs.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.
08/31/2017


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