Request For Advance Or Reimbursement (long Form)

REQUEST FOR ADVANCE OR REIMBURSEMENT (LONG FORM)

OMB: 3135-0091

IC ID: 154998

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REQUEST FOR ADVANCE OR REIMBURSEMENT (LONG FORM)
 
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


    

1,400 0
   
Private Sector Not-for-profit institutions
 
   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 1,400 0 1,400 0 0 0
Annual IC Time Burden (Hours) 1,400 0 1,400 0 0 0
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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