Application For Waiver And Waiver Order

APPLICATION FOR WAIVER AND WAIVER ORDER

OMB: 2115-0005

IC ID: 140360

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APPLICATION FOR WAIVER AND WAIVER ORDER
 
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 CG-2633 No No


    

600 0
   
State, Local, and Tribal Governments
 
   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 150 0 0 150 0 0
Annual IC Time Burden (Hours) 38 0 0 38 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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