• Agencies

OSHA Penalty Payment Form

Description: Use this form to pay your federal OSHA Penalty. Have your inspection number(s) available. This form is not applicable for employers in State Plans. Please contact your local State Plan office for payment instructions.

Provider Relief Fund (PRF) Uninsured Program (UIP) Returns

Description: This form may be used only to return funds distributed by the HRSA Provider Relief Fund (PRF) Uninsured Program (UIP). Do not use this form if you have a delinquent PRF/UIP debt currently in collections. To repay a delinquent debt, follow the instructions in the demand letter you received.

Application for Recognition for Exemption Under Section 501(a) or Section 521

Description: Organizations file this form to apply for recognition of exemption from federal income tax under Section 501(a) (other than Sections 501(c)(3) or 501(c)(4)) or Section 521.

Application for Recognition of Exemption Under Section 501(c)(4)

Description: Organizations file this form to apply for recognition of exemption from federal income tax under Section 501(c)(4).

Big South Fork NRR Back Country Permit Fees

Description: Use this form to fill out your BISO Backcountry Permit
Form Number: BISO Back Country Fees
OMB Number: 1024-0022

HQ FAA Miscellaneous Payments

Description: Please use this form to make payments to Federal Aviation Administration for outstanding debits and all over payments that you have been instructed to pay using the FAA Miscellaneous Payments form.

NIST Miscellaneous Payment Form

Description: Please use this form to make the following kinds of payments: NIST Royalties, NIST Standard Reference Data (SRD), NIST Gifts & Bequests, NIST NanoFab, NIST CMVP, NIST Grants and CRADAs. Please also use this form if you have been instructed to do so by a NIST staff member.

Office of the Inspector General Miscellaneous Payments

Description: Please use this form to pay your Office of the Inspector General payments for the following types of payments: travel overpayments, transit benefit refunds, vendor overpayments, payroll reimbursements and purchase/travel card rebates. This form may also be used for other payments as instructed by the Office of the Inspector General.
Form Number: DOTOIG Miscellaneous

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