Reinstatement Of Disability Annuity Previously Terminated Because Of Restoration To Earning Capacity

REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY

OMB: 3206-0138

IC ID: 156926

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REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY
 
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
Form BRI 49-219 No No


    

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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