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Prosthetic Service Card Invoice

IC 174660 under ICR 198904-2900-022 · OMB 2900-0337.

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PROSTHETIC SERVICE CARD INVOICE
 
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 10-2520 No No


    

40,000 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 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 3,200 0 0 0 0 3,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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