Waiver - Initial And Renewal

WAIVER - INITIAL AND RENEWAL

OMB: 2125-0091

IC ID: 141811

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WAIVER - INITIAL AND RENEWAL
 
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


    

125 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 125 0 0 125 0 0
Annual IC Time Burden (Hours) 88 0 0 88 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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