Abbreviated Reimbursement Checklist

Requests for Reimbursement under Section 3610 of the CARES Act

Documents and Forms

Document Name Document Type
TAB A1 - Abbreviated Reimb Checklist - 2020-OZZZZ 08.11.20 Final.docx Instruction
TAB A1 - Abbreviated Reimb Checklist - 2020-OZZZZ 08.11.20 Final.docx Instruction

Information Collection (IC) Details

IC Title:	Abbreviated Reimbursement Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TAB A1 - Abbreviated Reimb Checklist - 2020-OZZZZ 08.11.20 Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,655	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,655	12,655
Annual IC Time Burden (Hours)	253,100	253,100
Annual IC Cost Burden (Dollars)	14,365,956	14,365,956

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.