Information Collection Request

APPLICATION FOR SPECIAL ENROLLMENT EXAMINATION

ICR 199111-1545-007 · OMB 1545-0949 · Historical Active

Forms and Documents

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Information collection document groups
IC IDCollectionTypeStatusForm
131105 APPLICATION FOR SPECIAL ENROLLMENT EXAMINATION Form Migrated

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/1995 02/28/1995 01/31/1992
8,000 0 8,000
800 0 800
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
APPLICATION FOR SPECIAL ENROLLMENT EXAMINATION 2587

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,000 8,000 0 0 0 0
Annual Time Burden (Hours) 800 800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No