Post-certification Revisit Report And Continuation Sheet

POST-CERTIFICATION REVISIT REPORT AND CONTINUATION SHEET

OMB: 0938-0044

IC ID: 112626

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POST-CERTIFICATION REVISIT REPORT AND CONTINUATION SHEET
 
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 SSA-2567B No No


    

17,500 0
   
Private Sector Businesses or other for-profits
 
   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 17,500 0 0 0 0 17,500
Annual IC Time Burden (Hours) 1,120 0 0 -16,380 0 17,500
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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