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Information Collection

Notice Of Termination Of Insured Status

IC 154502 under ICR 198308-3133-001 · OMB 3133-0025.

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NOTICE OF TERMINATION OF INSURED STATUS
 
No Migrated
 
Voluntary
 

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


    

30,000 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 30,030 0 0 29,849 0 181
Annual IC Time Burden (Hours) 7,800 0 0 300 0 7,500
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.