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Record Of State And Local Action Under Section 1122 Of The Social Security Act

IC 110166 under ICR 198505-0915-001 · OMB 0915-0055.

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RECORD OF STATE AND LOCAL ACTION UNDER SECTION 1122 OF THE SOCIAL SECURITY ACT
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HRSA-712 No No


    

17 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 374 0 0 0 0 374
Annual IC Time Burden (Hours) 187 0 0 0 0 187
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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