Statement Of Annual Estimated Personal & Family Expenses

STATEMENT OF ANNUAL ESTIMATED PERSONAL & FAMILY EXPENSES

OMB: 1545-0514

IC ID: 130039

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STATEMENT OF ANNUAL ESTIMATED PERSONAL & FAMILY EXPENSES
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 4822 No No


    

107,275 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 107,275 0 0 107,275 0 0
Annual IC Time Burden (Hours) 53,637 0 0 53,637 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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