Information Collection

Final Regulation Relating To Supplemental Payments

IC 121493 under ICR 198210-1210-001 · OMB 1210-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0041 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	FINAL REGULATION RELATING TO SUPPLEMENTAL PAYMENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 352	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	77,887	77,887
Annual IC Time Burden (Hours)	6,491	6,491
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.