Application For Determination Of Eligibility For Life Estate Lease

APPLICATION FOR DETERMINATION OF ELIGIBILITY FOR LIFE ESTATE LEASE

OMB: 3312-0011

IC ID: 177635

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APPLICATION FOR DETERMINATION OF ELIGIBILITY FOR LIFE ESTATE LEASE
 
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


    

325 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 325 0 0 0 0 325
Annual IC Time Burden (Hours) 487 0 0 0 0 487
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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