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Information Collection

Information Collected From Fiscal Intermediaries And Carriers - Financial Collections Category

IC 113497 under ICR 198403-0938-005 · OMB 0938-0351.

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Information Collection (IC) Details

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INFORMATION COLLECTED FROM FISCAL INTERMEDIARIES AND CARRIERS - FINANCIAL COLLECTIONS CATEGORY
 
No Migrated
 
Mandatory
 

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


    

103 0
   
Private Sector Businesses or other for-profits
 
   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 103 0 103 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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