Annual Income Questionnaire For Pension And Instructions For Completion

ANNUAL INCOME QUESTIONNAIRE FOR PENSION AND INSTRUCTIONS FOR COMPLETION

OMB: 2900-0135

IC ID: 174342

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ANNUAL INCOME QUESTIONNAIRE FOR PENSION AND INSTRUCTIONS FOR COMPLETION
 
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 21-6875 & No No
Form 21-6875A No No


    

910,000 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 910,000 0 0 0 0 910,000
Annual IC Time Burden (Hours) 303,333 0 0 0 0 303,333
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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