Submission Of Eligibility Statement For Utility Adjustments

SUBMISSION OF ELIGIBILITY STATEMENT FOR UTILITY ADJUSTMENTS

OMB: 2125-0515

IC ID: 173054

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SUBMISSION OF ELIGIBILITY STATEMENT FOR UTILITY ADJUSTMENTS
 
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


    

5 0
   
State, Local, and Tribal Governments
 
   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 5 0 0 0 0 5
Annual IC Time Burden (Hours) 180 0 0 0 0 180
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.

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