Statement Of Accredited Representative In Appealed Case

STATEMENT OF ACCREDITED REPRESENTATIVE IN APPEALED CASE

OMB: 2900-0042

IC ID: 146694

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STATEMENT OF ACCREDITED REPRESENTATIVE IN APPEALED CASE
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1-646 No No


    

28,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25,000 0 0 25,000 0 0
Annual IC Time Burden (Hours) 6,250 0 0 6,250 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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