Supplement To Application For Widow(er)'s Insurance Annuity

SUPPLEMENT TO APPLICATION FOR WIDOW(ER)'S INSURANCE ANNUITY

OMB: 3220-0094

IC ID: 157606

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Information Collection (IC) Details

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SUPPLEMENT TO APPLICATION FOR WIDOW(ER)'S INSURANCE ANNUITY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-17B No No


    

2,400 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 400 0 0 0 0 400
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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