Rehabilitation Maintenance Certificate

REHABILITATION MAINTENANCE CERTIFICATE

OMB: 1215-0161

IC ID: 122333

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REHABILITATION MAINTENANCE CERTIFICATE
 
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 OWCP-17 No No


    

950 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 11,400 0 0 7,200 0 4,200
Annual IC Time Burden (Hours) 1,904 0 0 1,204 0 700
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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