Information Collection Request

Accounts Receivable Forms for Debt Repayment

ICR 202208-1530-001 · OMB 1530-0075 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1530-0075 can be found here:

Forms and Documents

Document Name	Status
Form FS Form 00123 Financial Statement of Debtor Form and Instruction	New
Form FS Form 00122 Request for Recurring Electronic Payments Form and Instruction	New
1530-NEW_Supporting Statement Debt collection forms.docx Supporting Statement A	2022-09-12

IC Document Collections

IC ID	Document Title	Status
255634	Financial Statement of Debtor Form and Instruction	New
255632	Request for Recurring Electronic Payments Form and Instruction	New

ICR Details

Status	Received in OIRA
Agency/Subagency	TREAS/FISCAL
OMB Control No	1530-0075
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31