Application For Duplicate Certificate Of Number (when Origin Al Has Been Lost)

APPLICATION FOR DUPLICATE CERTIFICATE OF NUMBER (WHEN ORIGIN AL HAS BEEN LOST)

OMB: 2115-0011

IC ID: 140390

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APPLICATION FOR DUPLICATE CERTIFICATE OF NUMBER (WHEN ORIGIN AL HAS BEEN LOST)
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CG-3919 No No


    

20,000 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 20,000 0 0 20,000 0 0
Annual IC Time Burden (Hours) 5,000 0 0 5,000 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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