NOTICE OF BENEFIT STATUS

ICR 197508-3220-002

OMB: 3220-0096

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
157616 Migrated
ICR Details
3220-0096 197508-3220-002
Historical Active
RRB
NOTICE OF BENEFIT STATUS
Extension without change of a currently approved collection   No
Regular
Approved without change 09/11/1975
Retrieve Notice of Action (NOA) 08/19/1975
  Inventory as of this Action Requested Previously Approved
09/30/1980 09/30/1980
150 0 0
12 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
NOTICE OF BENEFIT STATUS ID-20

  Total Approved 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 150 0 0 0 150 0
Annual Time Burden (Hours) 12 0 0 0 12 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
08/19/1975


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