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Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act
Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act
OMB: 1105-0102
IC ID: 226358
OMB.report
DOJ/LA
OMB 1105-0102
ICR 202006-1105-001
IC 226358
( )
Documents and Forms
Document Name
Document Type
Form FCSC-2
Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act
Form and Instruction
FCSC-2 Guam Claim Form
Guam Claim Form - English.pdf
justice.gov/fcsc
Form and Instruction
FCSC-2C Guam Claim Form
Guam Claim Form - Chamorro.pdf
justice.gov/fcsc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement of Claim for filing of Claims in the Guam Claims Program Pursuant to the Guam World War II Loyalty Recognition Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
45 CFR Part 510 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FCSC-2
Guam Claim Form
Guam Claim Form - English.pdf
justice.gov/fcsc
Yes
No
Fillable Printable
Form and Instruction
FCSC-2C
Guam Claim Form
Guam Claim Form - Chamorro.pdf
justice.gov/fcsc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
10,000
0
0
0
0
10,000
Annual IC Cost Burden (Dollars)
0
0
0
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.