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Health Insurance Study - Annual Income Report

IC 116566 under ICR 198110-0990-005 · OMB 0990-0076.

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HEALTH INSURANCE STUDY - ANNUAL INCOME REPORT
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OS-16-81 No No


    

2,400 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 2,400 0 2,400 0 0 0
Annual IC Time Burden (Hours) 480 0 480 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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