Application For Reward For Original Information

APPLICATION FOR REWARD FOR ORIGINAL INFORMATION

OMB: 1010-0076

IC ID: 117537

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APPLICATION FOR REWARD FOR ORIGINAL INFORMATION
 
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 MMS-4280 No No


    

10 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 10 0 0 -2 0 12
Annual IC Time Burden (Hours) 5 0 0 -1 0 6
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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