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Statement Of Annual Estimated Personal & Family Expenses

IC 130040 under ICR 198303-1545-030 · OMB 1545-0514.

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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 %

  Requested 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 0 0 107,275
Annual IC Time Burden (Hours) 53,637 0 0 0 0 53,637
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.