OMB control number
Accounts Receivable Forms for Debt Repayment
OMB 1530-0075 · TREAS/FISCAL.
OMB 1530-0075
The principal purpose for gathering this information is to evaluate a debtor’s ability to pay their debt and to obtain the debtor’s ACH payment information so recurring electronic payments can be set up to pay their debt.
The latest form for Accounts Receivable Forms for Debt Repayment expires 2026-04-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Financial Statement of Debtor All Historical Document Collections
| Revision of a currently approved collection | 2026-02-27 | ||
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2022-11-16 |
OMB Details
Request for Recurring Electronic Payments
Federal Enterprise Architecture: General Government - Central Fiscal Operations
| Form FS Form 00122 | Request for Recurring Electronic Payments | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.