Debt Collection Financial Statement

ICR 202006-1660-009

OMB: 1660-0011

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2020-06-28
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
2020-06-28
Supplementary Document
2014-06-02
Supplementary Document
2014-05-13
Supplementary Document
2020-06-28
Supplementary Document
2008-01-16
IC Document Collections
IC ID
Document
Title
Status
21056 Modified
ICR Details
1660-0011 202006-1660-009
Received in OIRA 201707-1660-002
DHS/FEMA
Debt Collection Financial Statement
Reinstatement without change of a previously approved collection   No
Regular 02/24/2021
  Requested Previously Approved
36 Months From Approved
300 0
225 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

  84 FR 34918 07/19/2019
85 FR 12001 02/28/2020
No

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

  Total Request 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 0 0 0 0 300
Annual Time Burden (Hours) 225 0 0 0 0 225
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$41,661
No
    Yes
    Yes
No
No
No
No
Millicent Brown 202 646-2814 millicent.brown@fema.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.
02/24/2021


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