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

IC 157609 under ICR 198005-3220-002 · OMB 3220-0094.

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SUPPLEMENT TO APPLICATION FOR WIDOW(ER)'S INSURANCE ANNUITY
 
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 AA-17B No No


    

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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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